Individual
ELWYN C CLARK
Active
Individual
ELWYN C CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
247501
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
247501-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247501
LICENSE
NY
01
—
3966
LICENSE
TN
01
—
81095
LICENSE
GA
Enumeration date
06/23/2008
Last updated
07/06/2026
Update your record
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