Healthcare Provider Details

I. General information

NPI: 1609101617
Provider Name (Legal Business Name): CLAIRE N. HURST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 10/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 S BROADWAY 3RD FLOOR
YONKERS NY
10701-3713
US

IV. Provider business mailing address

51 SUNNYSIDE DR APT #3
YONKERS NY
10705-1742
US

V. Phone/Fax

Practice location:
  • Phone: 914-964-6767
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: