Individual
MS. CAROL ALICE CLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 425-2121
(631) 425-3851
Mailing address
115 BRIARCLIFF RD, WESTBURY, NY 11590-1672
(516) 333-1902
(516) 333-1902
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F334768-1
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F360448-1
NY
367A00000X
Advanced Practice Midwife
F000654-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02283118
—
NY
Enumeration date
08/31/2006
Last updated
01/24/2012
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