Provider Demographics
NPI:1760746549
Name:GEBHARD, CLAUDINE MARIE
Entity Type:Individual
Prefix:
First Name:CLAUDINE
Middle Name:MARIE
Last Name:GEBHARD
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 1:435 CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-1306
Mailing Address - Country:US
Mailing Address - Phone:914-835-1865
Mailing Address - Fax:914-922-9336
Practice Address - Street 1:435 CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-1306
Practice Address - Country:US
Practice Address - Phone:914-835-1865
Practice Address - Fax:914-922-9336
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist