Provider Demographics
NPI:1942607981
Name:LYDIA E BIFFER DC PC
Entity Type:Organization
Organization Name:LYDIA E BIFFER DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:BIFFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-245-1400
Mailing Address - Street 1:3653 HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON VLY
Mailing Address - State:NY
Mailing Address - Zip Code:10535-1501
Mailing Address - Country:US
Mailing Address - Phone:914-245-1400
Mailing Address - Fax:914-245-3964
Practice Address - Street 1:3653 HILL BLVD
Practice Address - Street 2:
Practice Address - City:JEFFERSON VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10535-1501
Practice Address - Country:US
Practice Address - Phone:914-245-1400
Practice Address - Fax:914-245-3964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty