Provider Demographics
NPI:1841352515
Name:BINDER, SUSAN ESTHER (MD)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:ESTHER
Last Name:BINDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:171 W 71ST ST
Mailing Address - Street 2:APT 5E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3801
Mailing Address - Country:US
Mailing Address - Phone:212-366-5556
Mailing Address - Fax:212-752-0674
Practice Address - Street 1:245 E 63RD ST
Practice Address - Street 2:SUITE 107
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-7466
Practice Address - Country:US
Practice Address - Phone:212-980-9292
Practice Address - Fax:212-752-0674
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY223021207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3K6911Medicare ID - Type Unspecified
NYI49178Medicare UPIN