Individual
AVITAL SUISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, MSN-RN
Contact information
Practice address
81 W 115TH ST, NEW YORK, NY 10026-3138
(212) 426-0088
(212) 426-8367
Mailing address
60 MADISON AVE FL 5, NEW YORK, NY 10010-1600
(212) 545-2400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
352083
NY
Other
Enumeration date
06/30/2023
Last updated
12/09/2025
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