Provider Demographics
NPI:1255690855
Name:RICHARDSON-BYAM, CLAUDIA PATRICIA
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:PATRICIA
Last Name:RICHARDSON-BYAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HILLCREST HIGH SCHOOL
Mailing Address - Street 2:160-05 HIGHLAND AVENUE
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432
Mailing Address - Country:US
Mailing Address - Phone:718-658-5407
Mailing Address - Fax:718-739-5137
Practice Address - Street 1:160-05 HIGHLAND AVENUE
Practice Address - Street 2:HILLCREST HIGH SCHOOL
Practice Address - City:JAMAICA ESTATES
Practice Address - State:NY
Practice Address - Zip Code:11432
Practice Address - Country:US
Practice Address - Phone:718-658-5407
Practice Address - Fax:718-739-5137
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY481587-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool