Provider Demographics
NPI:1720644511
Name:STREIMER, FIONA
Entity Type:Individual
Prefix:
First Name:FIONA
Middle Name:
Last Name:STREIMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FIONA
Other - Middle Name:
Other - Last Name:LEIMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 923
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:NY
Mailing Address - Zip Code:12754-0923
Mailing Address - Country:US
Mailing Address - Phone:845-665-5157
Mailing Address - Fax:
Practice Address - Street 1:5 TRIANGLE RD
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:NY
Practice Address - Zip Code:12754-3368
Practice Address - Country:US
Practice Address - Phone:845-747-2580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist