Individual
CLAIRE L DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025785
NY
363A00000X
Physician Assistant
PA01702
RI
363A00000X
Physician Assistant
PA101031
MA
Other
Enumeration date
09/27/2020
Last updated
09/16/2024
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