Provider Demographics
NPI:1780659409
Name:CLAPMAN, CAROL JOYCE (RN MS FNP)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:JOYCE
Last Name:CLAPMAN
Suffix:
Gender:F
Credentials:RN MS FNP
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:J
Other - Last Name:OSTROV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:719 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213
Mailing Address - Country:US
Mailing Address - Phone:718-774-9315
Mailing Address - Fax:718-774-1574
Practice Address - Street 1:77 CLINTONAVE
Practice Address - Street 2:BENJAMIN BANNEKER SCHOOL CLINIC
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205
Practice Address - Country:US
Practice Address - Phone:718-834-2981
Practice Address - Fax:719-834-4782
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4678181163W00000X
NYF3329041363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00357451Medicaid