Provider Demographics
NPI:1588721526
Name:SHWIDE-SLAVIN, CLAUDIA (MS RD CDE)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:
Last Name:SHWIDE-SLAVIN
Suffix:
Gender:F
Credentials:MS RD CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 E 80TH ST STE 1E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0117
Mailing Address - Country:US
Mailing Address - Phone:212-439-0879
Mailing Address - Fax:212-439-6123
Practice Address - Street 1:19 E 80TH ST STE 1E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0117
Practice Address - Country:US
Practice Address - Phone:212-439-0879
Practice Address - Fax:212-439-6123
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001142133NN1002X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7R3911Medicare UPIN