Healthcare Provider Details

I. General information

NPI: 1205745528
Provider Name (Legal Business Name): CLAUDIA EL HADDAD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 E 54TH ST APT 2G
NEW YORK NY
10022-4925
US

IV. Provider business mailing address

311 E 54TH ST APT 2G
NEW YORK NY
10022-4925
US

V. Phone/Fax

Practice location:
  • Phone: 646-735-1760
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License NumberP143748
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: