Provider Demographics
NPI:1558309468
Name:BIEN BONET, SUZANNE (MPS, ATR-BC, NCPSYA)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:
Last Name:BIEN BONET
Suffix:
Gender:F
Credentials:MPS, ATR-BC, NCPSYA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 RIVERSIDE DR
Mailing Address - Street 2:SUITE GRB2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6509
Mailing Address - Country:US
Mailing Address - Phone:212-877-1764
Mailing Address - Fax:
Practice Address - Street 1:54 RIVERSIDE DR
Practice Address - Street 2:SUITE GRB2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6509
Practice Address - Country:US
Practice Address - Phone:212-877-1764
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000495101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health