Provider Demographics
NPI:1932242930
Name:NELSON, CLAUDIA JANE (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:JANE
Last Name:NELSON
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 BROADWAY
Mailing Address - Street 2:MAIL CODE 2606 ALFRED LERNER HALL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027
Mailing Address - Country:US
Mailing Address - Phone:212-854-2878
Mailing Address - Fax:212-854-9473
Practice Address - Street 1:2920 BROADWAY
Practice Address - Street 2:MAIL CODE 2606 ALFRED LERNER HALL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-7004
Practice Address - Country:US
Practice Address - Phone:212-854-2878
Practice Address - Fax:212-854-9473
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228455-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry