Provider Demographics
NPI:1881091866
Name:BILLONES, CLAIRE MAE
Entity type:Individual
Prefix:
First Name:CLAIRE MAE
Middle Name:
Last Name:BILLONES
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 1:2160 MATTHEWS AVE
Mailing Address - Street 2:APT. 7T
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-2078
Mailing Address - Country:US
Mailing Address - Phone:347-725-5450
Mailing Address - Fax:
Practice Address - Street 1:2160 MATTHEWS AVE
Practice Address - Street 2:APT. 7T
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-2078
Practice Address - Country:US
Practice Address - Phone:347-725-5450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-19
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018663-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist