Provider Demographics
NPI:1083976229
Name:QUIJANO, CLAUDIA ELISA (MS EDUCATION)
Entity type:Individual
Prefix:MISS
First Name:CLAUDIA
Middle Name:ELISA
Last Name:QUIJANO
Suffix:
Gender:F
Credentials:MS EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 263
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-0263
Mailing Address - Country:US
Mailing Address - Phone:917-544-6448
Mailing Address - Fax:
Practice Address - Street 1:16216 UNION TPKE STE 303
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1960
Practice Address - Country:US
Practice Address - Phone:917-544-6448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY773143174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist