Healthcare Provider Details

I. General information

NPI: 1114211349
Provider Name (Legal Business Name): CLAIRE JOCELENE ELPENORD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2011
Last Update Date: 06/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WOODS ROAD WESTCHESTER MEDICAL CENTER
VALHALLA NY
10595
US

IV. Provider business mailing address

100 WOODS ROAD WESTCHESTER MEDICAL CENTER
VALHALLA NY
10595
US

V. Phone/Fax

Practice location:
  • Phone: 914-594-3312
  • Fax: 914-594-3518
Mailing address:
  • Phone: 914-594-3312
  • Fax: 914-594-3518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number260638-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: