Healthcare Provider Details

I. General information

NPI: 1912550542
Provider Name (Legal Business Name): CLAUDE LAWRENCE ALBERTARIO RPSGT, RST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 11/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 E 70TH ST FL 3
NEW YORK NY
10021-4872
US

IV. Provider business mailing address

3334 BAYFIELD BLVD
OCEANSIDE NY
11572-4622
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-9354
  • Fax: 646-962-0246
Mailing address:
  • Phone: 516-225-0421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number000147-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number000147-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number000147-1
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code2472E0500X
TaxonomyEEG Technician
License Number000147-1
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number000147-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: