Provider Demographics
NPI:1427086198
Name:WARD, CLAUDINE T (MD)
Entity type:Individual
Prefix:
First Name:CLAUDINE
Middle Name:T
Last Name:WARD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:750 E ADAMS ST
Mailing Address - Street 2:PM&R DEPARTMENT
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-2306
Mailing Address - Country:US
Mailing Address - Phone:315-464-5820
Mailing Address - Fax:315-464-8699
Practice Address - Street 1:750 E ADAMS ST
Practice Address - Street 2:PM&R DEPARTMENT
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2306
Practice Address - Country:US
Practice Address - Phone:315-464-5820
Practice Address - Fax:315-464-8699
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2010-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY240527208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02780312Medicaid
NYP00374440Medicare PIN
NYRB0794Medicare PIN