Healthcare Provider Details

I. General information

NPI: 1780659409
Provider Name (Legal Business Name): CAROL JOYCE CLAPMAN RN MS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROL J OSTROV

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 08/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 CLINTONAVE BENJAMIN BANNEKER SCHOOL CLINIC
BROOKLYN NY
11205
US

IV. Provider business mailing address

719 MONTGOMERY ST
BROOKLYN NY
11213
US

V. Phone/Fax

Practice location:
  • Phone: 718-834-2981
  • Fax: 719-834-4782
Mailing address:
  • Phone: 718-774-9315
  • Fax: 718-774-1574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4678181
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF3329041
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: