Provider Demographics
NPI:1285999276
Name:SUSAN J. BILY-LINDNER PSYD PLLC NORTH SHORE- SOUTH SHORE PSYC SVCS
Entity type:Organization
Organization Name:SUSAN J. BILY-LINDNER PSYD PLLC NORTH SHORE- SOUTH SHORE PSYC SVCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BILY-LINDNER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:516-627-0234
Mailing Address - Street 1:444 COMMUNITY DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3803
Mailing Address - Country:US
Mailing Address - Phone:516-627-0234
Mailing Address - Fax:
Practice Address - Street 1:444 COMMUNITY DR
Practice Address - Street 2:SUITE 206
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3803
Practice Address - Country:US
Practice Address - Phone:516-627-0234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016828103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty