| Elsa J Clark MD | |
|
1259 Wantagh Ave Wantagh NY 11793-2205 | |
| (516) 414-4012 | |
| (516) 414-4011 |
| Full Name | Elsa J Clark MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 1259 Wantagh Ave, Wantagh, New York |
| Authorized Official Name and Position | Elsa J Clark (PRESIDENT) |
| Authorized Official Contact | 5164144012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elsa J Clark MD 1259 Wantagh Ave Wantagh NY 11793-2205 Ph: (516) 414-4012 | Elsa J Clark MD 1259 Wantagh Ave Wantagh NY 11793-2205 Ph: (516) 414-4012 |
| NPI Number | 1952673261 |
|---|---|
| Provider Enumeration Date | 02/01/2012 |
| Last Update Date | 02/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952673261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 186750 (New York) | Primary |
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