Provider Demographics
NPI:1629124433
Name:CLAUDE, JEAN-MARIE HAROLD (MD)
Entity Type:Individual
Prefix:
First Name:JEAN-MARIE
Middle Name:HAROLD
Last Name:CLAUDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JEAN-MARIE
Other - Middle Name:HAROLD
Other - Last Name:CLAUDE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1734 BARD LN
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1506
Mailing Address - Country:US
Mailing Address - Phone:516-745-8035
Mailing Address - Fax:
Practice Address - Street 1:2698 FREDERICK DOUGLASS BLVD
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10030-1219
Practice Address - Country:US
Practice Address - Phone:212-939-8950
Practice Address - Fax:212-939-8973
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194463207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease