Provider Demographics
NPI:1568654325
Name:UNGER, CLAUDIA ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:ANNE
Last Name:UNGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 CENTRAL PARK WEST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:212-410-9407
Mailing Address - Fax:
Practice Address - Street 1:350 CENTRAL PARK WEST
Practice Address - Street 2:SUITE 1B
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:212-410-9407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014399103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02070840Medicaid
NYP72169Medicare UPIN
NYVL8481Medicare PIN