Provider Demographics
NPI:1770851487
Name:KAPNER-FISCHER, SUSAN (MS ED)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:KAPNER-FISCHER
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 1:11120 73RD AVE
Mailing Address - Street 2:APT 12C
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7423
Mailing Address - Country:US
Mailing Address - Phone:347-561-7170
Mailing Address - Fax:
Practice Address - Street 1:11120 73RD AVE
Practice Address - Street 2:APT 12C
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7423
Practice Address - Country:US
Practice Address - Phone:347-561-7170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist