Provider Demographics
NPI:1720507411
Name:FELDHAUS, CLAUDIA GILLAM (MA)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:GILLAM
Last Name:FELDHAUS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 OCEAN AVE APT 3M
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3251
Mailing Address - Country:US
Mailing Address - Phone:513-519-3846
Mailing Address - Fax:
Practice Address - Street 1:451 CLARKSON AVE # A-1116
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2054
Practice Address - Country:US
Practice Address - Phone:718-245-2579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program