Suarez Family Medicine PLLC
Family Medicine in Freeport, NY. Organization (NPI-2).
NPI number1972339851
StatusActive
Last updated in NPPESSep 9, 2024
Details
- NPI
- 1972339851
- Entity type
- Organization (NPI-2)
- Legal business name
- Suarez Family Medicine PLLC
- Organization subpart
- Yes
- Enumeration date
- Sep 9, 2024
- Certification date
- Sep 9, 2024
- Last updated
- Sep 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Sergio G. Suarez Physician PC (Former Legal Business Name)
Practice location
72 Guy Lombardo Ave Ste 1Freeport, NY 11520-3742
Phone 516-377-2727 · Fax 516-377-8088
Mailing address
72 Guy Lombardo Ave Ste 1Freeport, NY 11520-3742
Phone 516-377-2727 · Fax 516-377-8088
Authorized official
Diego Hernan Suarez
Sole Mbr
5163772727
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