Provider Demographics
NPI:1023165693
Name:CLAUDE, HULDA ANDRIANANDRASANA (DDS)
Entity type:Individual
Prefix:DR
First Name:HULDA
Middle Name:ANDRIANANDRASANA
Last Name:CLAUDE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 SMITH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-6337
Mailing Address - Country:US
Mailing Address - Phone:718-935-9946
Mailing Address - Fax:718-935-9947
Practice Address - Street 1:155 SMITH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-6337
Practice Address - Country:US
Practice Address - Phone:718-935-9946
Practice Address - Fax:718-935-9947
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0456181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01751293Medicaid