Walcott, Clyde Alexander

Walcott, Clyde Alexander is an sole proprietor health care provider with primary practice located at 2037 Utica Ave , Brooklyn NY 11234-3215. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Walcott, Clyde Alexander can be contacted via phone (718) 377-7757.

Contact Information

Primary practice address
2037 Utica Ave Brooklyn NY 11234-3215
Phone: (718) 377-7757
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1528511060
LBN Legal business name Walcott, Clyde Alexander
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2016
Last updated Aug 2nd, 2016 - about 8 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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