Clark, Elsa Jimenez

Clark, Elsa Jimenez is an sole proprietor health care provider with primary practice located at 1259 Wantagh Ave , Wantagh NY 11793-2205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Clark, Elsa Jimenez can be contacted via phone (516) 221-7971.

Contact Information

Primary practice address
1259 Wantagh Ave Wantagh NY 11793-2205
Phone: (516) 221-7971
Fax: (516) 221-8117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 186750 New York

Profile Details

NPI number 1770589343
LBN Legal business name Clark, Elsa Jimenez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2005
Last updated Jun 24th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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