Provider Demographics
NPI:1982704508
Name:CLAPS, ALBERT P JR
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:P
Last Name:CLAPS
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 1:4130 BAYBERRY LN
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-1511
Mailing Address - Country:US
Mailing Address - Phone:516-798-8833
Mailing Address - Fax:516-541-3005
Practice Address - Street 1:4130 BAYBERRY LN
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-1511
Practice Address - Country:US
Practice Address - Phone:516-798-8833
Practice Address - Fax:516-541-3005
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX2776-1111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT52215Medicare UPIN
NYX16041Medicare PIN