Individual
MISS DANA JEAN SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
50 ROUTE 25A # E, SMITHTOWN, NY 11787-1348
(631) 862-3000
Mailing address
9 WILLIAMSBURG DR, NORTHPORT, NY 11768-2547
(631) 495-6059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011815
NY
363AM0700X
Medical Physician Assistant
Primary
011815
NY
Other
Enumeration date
09/24/2008
Last updated
07/02/2024
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