Suarez, Sergio Gabriel
Suarez, Sergio Gabriel is an sole proprietor health care provider with primary practice located at 72 Guy Lombardo Ave Suite 1, Freeport NY 11520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Suarez, Sergio Gabriel can be contacted via phone (516) 377-2727.Contact Information
Primary practice address
72 Guy Lombardo Ave Suite 1
Freeport NY 11520
Phone: (516) 377-2727
Fax: (516) 377-8088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 199943 | New York |
Profile Details
| NPI number | 1417920091 |
|---|---|
| LBN Legal business name | Suarez, Sergio Gabriel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Feb 8th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417920091 | NPPES |
| New York | MEDICAID | 01635047 |
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