Individual
CLAUDIA PYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 DOHERTY AVE, ELMONT, NY 11003-2414
(347) 348-6889
Mailing address
63 DOHERTY AVE, ELMONT, NY 11003-2414
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313517-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164W00000X
—
NY
Enumeration date
01/08/2019
Last updated
01/08/2019
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