Individual
DR. SUZANNE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205 N BELLE MEADE RD, EAST SETAUKET, NY 11733
(631) 444-4630
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
(631) 444-4630
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
154129
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01133366
—
NY
01
—
47D75
EMPIRE BC.BS
NY
01
—
5113114
AETNA
NY
Enumeration date
07/27/2006
Last updated
07/08/2007
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