Provider Demographics
NPI:1477884690
Name:HOLT, CLAUDINE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:CLAUDINE
Middle Name:
Last Name:HOLT
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1468 MADISON AVE
Mailing Address - Street 2:3RD FLOOR ANNENBERG
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-241-3355
Mailing Address - Fax:212-241-5516
Practice Address - Street 1:1468 MADISON AVE
Practice Address - Street 2:3RD FLOOR ANNENBERG
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-3355
Practice Address - Fax:212-241-5516
Is Sole Proprietor?:No
Enumeration Date:2010-01-28
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD741822083P0500X
PAMD4492822083P0500X
NY2796742083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100727800OtherMEDICAID GROUP TPI
PA597586OtherMEDICARE TPI GROUP PTAN
PACD4829OtherRAILROAD MEDICARE TPI GROUP