Healthcare Provider Details

I. General information

NPI: 1336624964
Provider Name (Legal Business Name): CLAUDIA BEJIN DNP MSN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CLAUDIA MARSEILLE DNP MSN FNP-BC

II. Dates (important events)

Enumeration Date: 09/28/2018
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CROSFIELD AVE STE 318
WEST NYACK NY
10994-2220
US

IV. Provider business mailing address

20 GRAND STREET, 3RD FL
WARWICK NY
10990-1035
US

V. Phone/Fax

Practice location:
  • Phone: 845-353-5600
  • Fax: 804-261-4904
Mailing address:
  • Phone: 845-353-5600
  • Fax: 845-987-5979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number343644
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: