Suzzivalli, Michael

Suzzivalli, Michael is an individual health care provider with primary practice located at 635 Belle Terre Rd Suite #204, Port Jefferson NY 11777-1935. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Suzzivalli, Michael can be contacted via phone (631) 474-0008.

Contact Information

Primary practice address
635 Belle Terre Rd Suite #204 Port Jefferson NY 11777-1935
Phone: (631) 474-0008
Fax: (631) 474-0224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008264 New York

Profile Details

NPI number 1194737973
LBN Legal business name Suzzivalli, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jan 27th, 2010 - about 14 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.

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