Provider Demographics
NPI:1699764795
Name:BIELER, DIANE M (DC)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:M
Last Name:BIELER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 KILDARE RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-1123
Mailing Address - Country:US
Mailing Address - Phone:516-358-7474
Mailing Address - Fax:516-538-3219
Practice Address - Street 1:204 KILDARE RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-1123
Practice Address - Country:US
Practice Address - Phone:516-358-7474
Practice Address - Fax:516-538-3219
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2008-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004647111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX25801Medicare ID - Type Unspecified