Clare, Carol Alice

Clare, Carol Alice is an individual health care provider with primary practice located at 180 E Pulaski Rd , Huntington Station NY 11746-1915. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Clare, Carol Alice can be contacted via phone (631) 425-2121.

Contact Information

Primary practice address
180 E Pulaski Rd Huntington Station NY 11746-1915
Phone: (631) 425-2121
Fax: (631) 425-3851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F334768-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X F360448-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F000654-1 New York

Profile Details

NPI number 1316058654
LBN Legal business name Clare, Carol Alice
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316058654 NPPES
New York MEDICAID 02283118

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