Healthcare Provider Details

I. General information

NPI: 1912404252
Provider Name (Legal Business Name): CLAUDIA MIRANDA KUZAN-FISCHER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CLAUDIA MIRANDA FISCHER M.D.

II. Dates (important events)

Enumeration Date: 04/12/2018
Last Update Date: 11/30/2018
Certification Date:
Deactivation Date: 11/16/2018
Reactivation Date: 11/30/2018

III. Provider practice location address

525 EAST 68TH STREET, WEILL CORNELL MEDICINE, DEPARTME
NEW YORK NY
10065
US

IV. Provider business mailing address

525 EAST 68TH STREET, BOX 99 WEILL CORNELL MEDICINE, DE
NEW YORK NY
10065
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-3606
  • Fax:
Mailing address:
  • Phone: 646-962-3606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: