Provider Demographics
NPI:1730734088
Name:REIB, SUSAN ROBIN
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:ROBIN
Last Name:REIB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 NETHERLAND AVE APT 1220
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4822
Mailing Address - Country:US
Mailing Address - Phone:917-733-8931
Mailing Address - Fax:
Practice Address - Street 1:2600 NETHERLAND AVE APT 1220
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-0952
Practice Address - Country:US
Practice Address - Phone:917-733-8931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool