Provider Demographics
NPI:1831291962
Name:HARRIS, CLAUDIA L (MS, CNS, PHD)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:L
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MS, CNS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13918 109TH RD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-5501
Mailing Address - Country:US
Mailing Address - Phone:347-506-0409
Mailing Address - Fax:
Practice Address - Street 1:13918 109TH RD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-5501
Practice Address - Country:US
Practice Address - Phone:347-506-0409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist