Provider Demographics
NPI:1134113145
Name:STRIEGLER, SUSAN E (DC)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:E
Last Name:STRIEGLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SUSAN
Other - Middle Name:E
Other - Last Name:STRIEGLER-SCHORER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 814
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-0814
Mailing Address - Country:US
Mailing Address - Phone:315-525-7514
Mailing Address - Fax:
Practice Address - Street 1:3 ELLINWOOD CT STE 5
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413
Practice Address - Country:US
Practice Address - Phone:315-733-7770
Practice Address - Fax:315-316-0338
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-06
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010926-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04982183Medicaid
NYU99153Medicare UPIN