Provider Demographics
NPI:1265195911
Name:ELENEWICH, CLAUDIA ANN
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:ANN
Last Name:ELENEWICH
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 1:444 GABLES RD
Mailing Address - Street 2:
Mailing Address - City:NARROWSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12764-5260
Mailing Address - Country:US
Mailing Address - Phone:914-420-8668
Mailing Address - Fax:
Practice Address - Street 1:444 GABLES RD
Practice Address - Street 2:
Practice Address - City:NARROWSBURG
Practice Address - State:NY
Practice Address - Zip Code:12764-5260
Practice Address - Country:US
Practice Address - Phone:914-420-8668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY281469-1163WW0000X, 163WX1500X, 163WE0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0900XNursing Service ProvidersRegistered NurseEnterostomal Therapy
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No163WX1500XNursing Service ProvidersRegistered NurseOstomy Care