Provider Demographics
NPI:1912404252
Name:KUZAN-FISCHER, CLAUDIA MIRANDA (MD)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:MIRANDA
Last Name:KUZAN-FISCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:MIRANDA
Other - Last Name:FISCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:525 EAST 68TH STREET, BOX 99 WEILL CORNELL MEDICINE, DE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:646-962-3606
Mailing Address - Fax:
Practice Address - Street 1:525 EAST 68TH STREET, WEILL CORNELL MEDICINE, DEPARTME
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:646-962-3606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2018-11-30
Deactivation Date:2018-11-16
Deactivation Code:
Reactivation Date:2018-11-30
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program