MEDICARE: MRS. CAROL JOYCE CLAPMAN RN MS FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	4678181	NY
2	363L00000X	Nurse Practitioner	F3329041	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780659409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAROL JOYCE CLAPMAN RN MS FNP

Provider Business Mailing Address
First Line	:	719 MONTGOMERY ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213
Country	:	US
Telephone Number	:	718-774-9315
Fax Number	:	718-774-1574

Provider Business Practice Location Address
First Line	:	77 CLINTONAVE
Second Line	:	BENJAMIN BANNEKER SCHOOL CLINIC
City	:	BROOKLYN
State	:	NY
Zip	:	11205
Country	:	US
Telephone Number	:	718-834-2981
Fax Number	:	719-834-4782

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	08/30/2013

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