Provider Demographics
NPI:1629391719
Name:MEEHAN, CLAIRE (MD)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:
Last Name:MEEHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:CASTRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4600 9TH AVE
Mailing Address - Street 2:APT. 110
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2320
Mailing Address - Country:US
Mailing Address - Phone:718-854-5326
Mailing Address - Fax:
Practice Address - Street 1:4600 9TH AVE
Practice Address - Street 2:APT. 110
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2320
Practice Address - Country:US
Practice Address - Phone:718-854-5326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY158557207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology