Provider Demographics
NPI:1568472405
Name:BIERDUMPFEL-BIHARI, LINDA IDA (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:IDA
Last Name:BIERDUMPFEL-BIHARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2917
Mailing Address - Country:US
Mailing Address - Phone:854-624-8605
Mailing Address - Fax:
Practice Address - Street 1:7 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2917
Practice Address - Country:US
Practice Address - Phone:854-624-8605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY169613207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY169613-7OtherWORKERS COMP NUMBER
NY169613-7OtherWORKERS COMP NUMBER
NY50K724L471Medicare PIN