Provider Demographics
NPI:1366128365
Name:MICHUE, CLAUDIA STEPHANY
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:STEPHANY
Last Name:MICHUE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 CONCOURSE VLG E APT 9J
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-3945
Mailing Address - Country:US
Mailing Address - Phone:646-246-1886
Mailing Address - Fax:
Practice Address - Street 1:775 CONCOURSE VLG E APT 9J
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3945
Practice Address - Country:US
Practice Address - Phone:646-246-1886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist