Provider Demographics
NPI:1164120580
Name:BUISER, MINNA
Entity Type:Individual
Prefix:
First Name:MINNA
Middle Name:
Last Name:BUISER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 WINDSOR RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-2310
Mailing Address - Country:US
Mailing Address - Phone:516-650-5997
Mailing Address - Fax:
Practice Address - Street 1:404 WINDSOR RIDGE DR
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-2310
Practice Address - Country:US
Practice Address - Phone:516-650-5997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical