Individual
DIEGO SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
773-775 9TH AVE, NEW YORK, NY 10019
(212) 586-1550
Mailing address
129 ELM ST, WOODMERE, NY 11598-2617
(516) 729-1120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
291595
NY
Other
Enumeration date
05/28/2014
Last updated
03/17/2018
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