Provider Demographics
NPI:1386142172
Name:LAPIDUS, SUSAN ANN
Entity type:Individual
Prefix:PROF
First Name:SUSAN
Middle Name:ANN
Last Name:LAPIDUS
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 1:135 OCEAN PARKWAY
Mailing Address - Street 2:8C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-2567
Mailing Address - Country:US
Mailing Address - Phone:917-597-3285
Mailing Address - Fax:917-597-3285
Practice Address - Street 1:135 OCEAN PARKWAY
Practice Address - Street 2:8C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2567
Practice Address - Country:US
Practice Address - Phone:917-597-3285
Practice Address - Fax:917-597-3285
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist