Basic Information
| Provider Information | |||||||||
| NPI: | 1649603952 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CLAUDIO | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | M. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHARMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10937 110TH ST | ||||||||
| Address2: | |||||||||
| City: | SOUTH OZONE PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 114201012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9175318328 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 BROOKDALE PLZ | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112123139 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182405000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2013 | ||||||||
| LastUpdateDate: | 08/10/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P1200X | 043396 | NY | Y | Pharmacy Service Providers | Pharmacist | Pharmacotherapy |
No ID Information.