Individual
SUSANNE MARIE BIFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPS, MSED, LCAT-BC
Contact information
Practice address
80 SAINT NICHOLAS PL APT 4C, NEW YORK, NY 10032-8061
(917) 445-5660
Mailing address
80 SAINT NICHOLAS PL APT 4C, NEW YORK, NY 10032-8061
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
00013
NY
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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