Provider Demographics
NPI:1578826756
Name:PLIVER, JUDITH (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:
Last Name:PLIVER
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 NOSTRAND AVE
Mailing Address - Street 2:APT # 5B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4615
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2635 NOSTRAND AVE
Practice Address - Street 2:APT # 5B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-4615
Practice Address - Country:US
Practice Address - Phone:718-916-1688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist