Individual
DR. JUAN MANUEL SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
1036 MANOR AVE APT 4A, BRONX, NY 10472-5932
(347) 628-9862
Mailing address
1036 MANOR AVE APT 4A, BRONX, NY 10472-5932
(347) 628-9862
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022396
NY
103TC0700X
Clinical Psychologist
35SI00675900
NJ
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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