Provider Demographics
NPI:1578817037
Name:COLLINS, SUSAN STEINEMANN (SUSAN S COLLINS, CS)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:STEINEMANN
Last Name:COLLINS
Suffix:
Gender:F
Credentials:SUSAN S COLLINS, CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 W 83RD ST APT 10C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4958
Mailing Address - Country:US
Mailing Address - Phone:781-237-2110
Mailing Address - Fax:212-580-0774
Practice Address - Street 1:51 E 42ND ST
Practice Address - Street 2:SUITE 501
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5404
Practice Address - Country:US
Practice Address - Phone:781-237-2110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner