Provider Demographics
NPI:1053491589
Name:CLAPPER, ALFRED E JR
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:E
Last Name:CLAPPER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 ROUTE 300
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1757
Mailing Address - Country:US
Mailing Address - Phone:845-566-0107
Mailing Address - Fax:845-566-0158
Practice Address - Street 1:1650 ROUTE 300
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-1757
Practice Address - Country:US
Practice Address - Phone:845-566-0107
Practice Address - Fax:845-566-0158
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005164111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10034811OtherCDPHD GROUP #6393
NY4126700OtherMVP
NYX43041OtherBLUECROSSBLUESHIELD
NYU18132Medicare UPIN
NYX43041Medicare ID - Type Unspecified