Provider Demographics
NPI:1649041674
Name:CLAXTON, LONDON IANASIA
Entity type:Individual
Prefix:
First Name:LONDON
Middle Name:IANASIA
Last Name:CLAXTON
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 1:19 CHESTER DR
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-2124
Mailing Address - Country:US
Mailing Address - Phone:914-640-9276
Mailing Address - Fax:
Practice Address - Street 1:19 CHESTER DR
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-2124
Practice Address - Country:US
Practice Address - Phone:914-640-9276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program