Provider Demographics
NPI:1154595924
Name:KLARA, MARIA DENISE (PSYD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DENISE
Last Name:KLARA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1ST AVENUE AT 16TH STREET - BETH ISRAEL MEDICAL CENTER
Mailing Address - Street 2:BERNSTEIN PAVILLION - 2ND FLOOR - ROOM 40
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-420-4428
Mailing Address - Fax:
Practice Address - Street 1:1ST AVENUE AT 16TH STREET - BETH ISRAEL MEDICAL CENTER
Practice Address - Street 2:BERNSTEIN PAVILLION - 2ND FLOOR - ROOM 40
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-420-4428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility