Individual
RONALD RAE LANARIA SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 WATERS PL, BRONX, NY 10461-2723
(718) 862-4743
(718) 862-4856
Mailing address
6805 38TH AVE, WOODSIDE, NY 11377-2918
(718) 779-1025
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
238251
NY
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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