Elsa J Clark MD

NPI #1952673261 in Wantagh, New York

Provider Information

NPI Number: 1952673261
Entity Type: Organization
Organization Name: Elsa J Clark MD
Primary Specialty: Internal Medicine
Enumeration Date: Feb 1, 2012
Last Updated: Feb 10, 2012

Practice Location

Address: 1259 WANTAGH AVE
City: Wantagh
State: New York
ZIP Code: 11793-2205
Phone: (516) 414-4012

Authorized Official

Name: DR. ELSA J CLARK, M.D
Title: PRESIDENT
Phone: (516) 414-4012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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