Search › New York › 163WG0000X

Douglas Clyburn, R.N

NPI 1154685469 · on the registry since 2012 · sole proprietor

Practice

Address
23 York Ave
Staten Island, NY 10301
Phone
(347) 937-0238

Registry record

Primary taxonomy
163WG0000X
163WG0000X
Also registered as
163W00000X
163WA0400X
163WC0400X
163WC2100X
163WD0400X
163WH0200X
163WH1000X
163WI0600X
163WM0705X
163WN1003X
163WP0000X
163WW0000X
163WX1500X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York