Individual
MR. BRYAN SUAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., L.M.T.
Contact information
Practice address
686 BROADWAY, MASSAPEQUA, NY 11758-2384
(516) 724-0135
Mailing address
686 BROADWAY, MASSAPEQUA, NY 11758-2384
(516) 724-0135
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003351
NY
Other
Enumeration date
01/15/2009
Last updated
08/20/2012
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