Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elsa Jimenez Clark, MD

Individual provider Internal Medicine Physician · NPI 1770589343

Elsa Jimenez Clark, MD is an Internal Medicine Physician in Wantagh, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1259 Wantagh Ave
Wantagh, NY 11793-2205
Phone: (516) 221-7971
Fax: (516) 221-8117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 186750 (NY)

Record details

NPI number1770589343
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 28, 2005
Last updated in NPPESJune 24, 2008

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