Provider Demographics
NPI:1972041820
Name:BLOCK, CLAUDIA GINA (MS ED)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:GINA
Last Name:BLOCK
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 215TH ST
Mailing Address - Street 2:APT 9R
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-2154
Mailing Address - Country:US
Mailing Address - Phone:917-676-6833
Mailing Address - Fax:
Practice Address - Street 1:1815 215 STREET
Practice Address - Street 2:APT 9R
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360
Practice Address - Country:US
Practice Address - Phone:917-601-8368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-10
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY174400000XOtherTEACHER