Individual
BEVERLY S SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23315 SEWARD AVE, QUEENS VILLAGE, NY 11427-2132
(718) 465-6238
Mailing address
23315 SEWARD AVE, QUEENS VILLAGE, NY 11427-2132
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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