Most Relevant Information
Provider Data
| NPI Number: | 1003597543 |
| Provider Name: | BRIDGET BARBARA SUMA MPS, LCAT |
| Entity Type: | Individual |
| Taxonomy Code: | 221700000X |
| Specialty: | Art Therapist |
| License Number: | 00283 |
Most Important Dates
| Enumeration Date: | 07/27/2023 |
| Last Updated: | 07/27/2023 |
Provider Practice Location
15 N MILL ST
NYACK
NY
109603015
Practice Location Phone/Fax
| Phone: | 9712429635 |
| Fax: |
Provider Mailing Location
118 PIERMONT AVE
NYACK
NY
109604512
Provider Mailing Phone/Fax
| Phone: | 9712429635 |
| Fax: |