Provider Demographics
NPI:1801131594
Name:BIEBER, DREW H (DPT)
Entity type:Individual
Prefix:DR
First Name:DREW
Middle Name:H
Last Name:BIEBER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:97 MAIN ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-1937
Mailing Address - Country:US
Mailing Address - Phone:631-751-6680
Mailing Address - Fax:631-941-3880
Practice Address - Street 1:97 MAIN ST
Practice Address - Street 2:SUITE F
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-1937
Practice Address - Country:US
Practice Address - Phone:631-751-6680
Practice Address - Fax:631-941-3880
Is Sole Proprietor?:No
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY035708-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic