Provider Demographics
NPI:1861754491
Name:SWEENEY, BILLIE MARIE (TEACHER)
Entity type:Individual
Prefix:MRS
First Name:BILLIE
Middle Name:MARIE
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 E CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-4714
Mailing Address - Country:US
Mailing Address - Phone:631-608-0863
Mailing Address - Fax:
Practice Address - Street 1:10 E CEDAR ST
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-4714
Practice Address - Country:US
Practice Address - Phone:631-608-0863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist