Provider Demographics
NPI:1427362193
Name:MCBRIDE, SUZANNE JANE (SUZANNE MCBRIDE)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:JANE
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:SUZANNE MCBRIDE
Other - Prefix:DR
Other - First Name:SUZANNE
Other - Middle Name:JANE
Other - Last Name:MCBRIDE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SUZANNE MCBRIDE
Mailing Address - Street 1:8 KENILWORTH RD
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-1911
Mailing Address - Country:US
Mailing Address - Phone:646-483-4739
Mailing Address - Fax:
Practice Address - Street 1:8 KENILWORTH RD
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-1911
Practice Address - Country:US
Practice Address - Phone:646-483-4739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70011897111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor