Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 182037 | NY |
NPI | 1689675605 |
---|---|
Provider Name | Janet Claassen |
First Address | Albany, NY 12211-2554 |
Second Address | Albany, NY 12211-2554 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01192130 | (05) | NY |
E70317 | (02) |