Provider Demographics
NPI:1700093754
Name:JAEGER, ANDREI-CLAUDIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREI-CLAUDIAN
Middle Name:
Last Name:JAEGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ANDREI-CLAUDIAN
Other - Middle Name:
Other - Last Name:IAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9229 QUEENS BLVD
Mailing Address - Street 2:SUITE 2E
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1056
Mailing Address - Country:US
Mailing Address - Phone:718-997-8726
Mailing Address - Fax:718-997-0601
Practice Address - Street 1:9229 QUEENS BLVD
Practice Address - Street 2:SUITE 2E
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1056
Practice Address - Country:US
Practice Address - Phone:718-997-8726
Practice Address - Fax:718-997-0601
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1624382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry