Provider Demographics
NPI:1043566359
Name:RIND, SUSAN JOY (MS ED)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:JOY
Last Name:RIND
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 DALOR CT
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2908
Mailing Address - Country:US
Mailing Address - Phone:516-637-3433
Mailing Address - Fax:
Practice Address - Street 1:60 DALOR CT
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-2908
Practice Address - Country:US
Practice Address - Phone:516-637-3433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY660982174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist