Provider Demographics
NPI:1124684691
Name:MANZUETA, CLAUDIA (PSY D)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:
Last Name:MANZUETA
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:DOUYON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:97 CEDARHURST AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-2140
Mailing Address - Country:US
Mailing Address - Phone:516-350-8564
Mailing Address - Fax:
Practice Address - Street 1:LEAGUE SCHOOL
Practice Address - Street 2:567 KINGSTON AVENUE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-498-2500
Practice Address - Fax:718-778-4018
Is Sole Proprietor?:No
Enumeration Date:2019-05-10
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023214103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical