Provider Demographics
NPI:1023166329
Name:LIEF, SUSAN (APRN)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:LIEF
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 ACKERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10901-7142
Mailing Address - Country:US
Mailing Address - Phone:845-369-7502
Mailing Address - Fax:845-357-0250
Practice Address - Street 1:37 ACKERMAN AVE
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10901-7142
Practice Address - Country:US
Practice Address - Phone:845-369-7502
Practice Address - Fax:845-357-0250
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11021101YA0400X
NY163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult