Provider Demographics
NPI:1194765933
Name:FOSKET, CLAUDIA D (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:D
Last Name:FOSKET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 AMSDELL RD
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-5835
Mailing Address - Country:US
Mailing Address - Phone:716-649-9000
Mailing Address - Fax:719-649-9005
Practice Address - Street 1:565 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-2039
Practice Address - Country:US
Practice Address - Phone:716-828-2399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1775062085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00025798705OtherUNIVERA HEALTHCARE
NY146164FFOtherPREFERRED CARE
NY1609206OtherINDEPENDENT HEALTH
NY01197575Medicaid
NY040426000363OtherFIDELIS CARE OF NEW YORK
NY02775253Medicaid
NY000510954007OtherBCBS
NY300080548OtherRR MEDICARE
NY01197575Medicaid
NY14464GMedicare PIN
NY000510954007OtherBCBS