MEDICARE: MRS. JEANY NINA BIER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	R055092-1	NY

General Provider Information

NPI Number	:	1659336154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JEANY NINA BIER LCSW

Provider Business Mailing Address
First Line	:	23 HOLIDAY CT
Second Line	:
City	:	NORTH WOODMERE
State	:	NY
Zip	:	11581-2930
Country	:	US
Telephone Number	:	516-791-6946
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 HOLIDAY CT
Second Line	:
City	:	NORTH WOODMERE
State	:	NY
Zip	:	11581-2930
Country	:	US
Telephone Number	:	516-791-6946
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	07/08/2007

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