Clyburn, Douglas

Clyburn, Douglas is an sole proprietor health care provider with primary practice located at 23 York Ave , Staten Island NY 10301-1326. He recently has 14 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Case Management, Nursing Service Providers / Continence Care, Nursing Service Providers / Diabetes Educator, Nursing Service Providers / General Practice, Nursing Service Providers / Home Health, Nursing Service Providers / Hospice, Nursing Service Providers / Infection Control, Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Nutrition Support, Nursing Service Providers / Pain Management, Nursing Service Providers / Wound Care, Nursing Service Providers / Ostomy Care. Nursing Service Providers / General Practice is his primary health care specialty. Clyburn, Douglas can be contacted via phone (347) 937-0238.

Contact Information

Primary practice address
23 York Ave Staten Island NY 10301-1326
Phone: (347) 937-0238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 568854 New York
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 568854 New York
Nursing Service Providers / Case Management 163WC0400X 568854 New York
Nursing Service Providers / Continence Care 163WC2100X 568854 New York
Nursing Service Providers / Diabetes Educator 163WD0400X 568854 New York
Nursing Service Providers / General Practice 163WG0000X 568854 New York
Nursing Service Providers / Home Health 163WH0200X 568854 New York
Nursing Service Providers / Hospice 163WH1000X 568854 New York
Nursing Service Providers / Infection Control 163WI0600X 568854 New York
Nursing Service Providers / Medical-Surgical 163WM0705X 568854 New York
Nursing Service Providers / Nutrition Support 163WN1003X 568854 New York
Nursing Service Providers / Pain Management 163WP0000X 568854 New York
Nursing Service Providers / Wound Care 163WW0000X 568854 New York
Nursing Service Providers / Ostomy Care 163WX1500X 568854 New York

Profile Details

NPI number 1154685469
LBN Legal business name Clyburn, Douglas
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2012
Last updated Jul 2nd, 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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