Provider Demographics
NPI:1477967065
Name:CLAUDIO, OKYRO CANDELARIA (DO)
Entity Type:Individual
Prefix:
First Name:OKYRO
Middle Name:CANDELARIA
Last Name:CLAUDIO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:OKYRO
Other - Middle Name:CANDELARIA
Other - Last Name:COLLAZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:14 LUCILLE LN
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5810
Mailing Address - Country:US
Mailing Address - Phone:718-551-4738
Mailing Address - Fax:
Practice Address - Street 1:175 FULTON AVE STE 100
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3702
Practice Address - Country:US
Practice Address - Phone:516-292-1034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY287301208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics