Provider Demographics
NPI:1841685880
Name:VASQUEZ, CLAUDIA
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:VASQUEZ
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 1:8319 141ST ST
Mailing Address - Street 2:APT 528
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-1647
Mailing Address - Country:US
Mailing Address - Phone:646-591-2090
Mailing Address - Fax:
Practice Address - Street 1:8319 141ST ST
Practice Address - Street 2:APT 528
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-1647
Practice Address - Country:US
Practice Address - Phone:646-591-2090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor