| Doctor Name: | SUSAN BETH HIRSCH |
| NPI Number: | 1003179789 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SPECIAL EDUCATION M. |
| License Number: | |
| Business Practice Address: | 255 Executive Dr Ste Ll108 Plainview, NY - 118031707 |
| Business Phone Number: | 5165762040 |
| Business Fax Number: | 5165762131 |
| Mailing Address: | 255 Executive Dr Ste Ll108, PLAINVIEW |
| State: | NY |
| Postal Code: | 118031707 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/19/2012 |
| NPI Last Update Date: | 06/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |