Individual
CLAUDIANE MOUAFO MADZOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6970 GRAND CENTRAL PKWY, FOREST HILLS, NY 11375-3949
(718) 263-4600
Mailing address
14128 247TH ST, ROSEDALE, NY 11422-2134
(929) 318-7987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P117491
NY
Other
Enumeration date
10/18/2022
Last updated
05/03/2023
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