Provider Demographics
NPI:1194940155
Name:GRASSEY, CLAUDIA B (NP)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:B
Last Name:GRASSEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:27 CARLETON AVE
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-1723
Mailing Address - Country:US
Mailing Address - Phone:845-279-5161
Mailing Address - Fax:845-279-5070
Practice Address - Street 1:11 FAIR ST
Practice Address - Street 2:CARMEL PEDIATRICS
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-1301
Practice Address - Country:US
Practice Address - Phone:845-279-5161
Practice Address - Fax:845-279-5070
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF380617363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics