Clyde Alexander Walcott

Peer Specialist · Brooklyn, NY

Individual Active NPI

NPI number 1528511060

Practice location

2037 Utica Ave
Brooklyn, NY 11234-3215
Phone
(718) 377-7757

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NPI record

NPI
1528511060
Entity type
Individual (Type 1)
Enumeration date
August 2, 2016
Last updated
August 2, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

About Clyde Walcott

Clyde Alexander Walcott is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 2037 Utica Ave, Brooklyn, NY 11234-3215. The NPI number 1528511060 was assigned on August 2, 2016 and the record was last updated on August 2, 2016.

Frequently asked questions

What is the NPI number of Clyde Alexander Walcott?

The NPI number is 1528511060.

What is the phone number of Clyde Walcott?

The phone number listed for the practice location is (718) 377-7757.

Where is Clyde Walcott located?

2037 Utica Ave, Brooklyn, NY 11234-3215.

What is the taxonomy code for Clyde Walcott?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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