Provider Demographics
NPI:1821446469
Name:BLEIER, SUSAN (MSED TVI)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:BLEIER
Suffix:
Gender:F
Credentials:MSED TVI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 HILDA LN
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2919
Mailing Address - Country:US
Mailing Address - Phone:845-425-2199
Mailing Address - Fax:
Practice Address - Street 1:15 HILDA LN
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2919
Practice Address - Country:US
Practice Address - Phone:845-425-2199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist