Individual
INGRID SUHEY FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 BROADHOLLOW RD, MELVILLE, NY 11747-5000
(631) 483-5600
(631) 390-1891
Mailing address
610 BROADHOLLOW RD, MELVILLE, NY 11747-5000
(631) 483-5600
(631) 390-1891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33863201
NY
Other
Enumeration date
05/04/2022
Last updated
11/12/2025
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