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Individual

MICHAEL SUAREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
540 TUCKAHOE RD, 1A, YONKERS, NY 10710-5719
(914) 525-4332
Mailing address
540 TUCKAHOE RD, 1A, YONKERS, NY 10710-5719

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
605832121
NY

Other

Enumeration date
03/30/2012
Last updated
03/30/2012
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