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Organization

CHRISTINA M. SUOZZO NP PSYCHIATRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA COANE (OFFICE MANAGER)
(631) 681-4754
Entity
Organization

Contact information

Practice address
475 E MAIN ST, SUITE 211, PATCHOGUE, NY 11772-3121
(631) 569-4646
(631) 893-4020
Mailing address
475 E MAIN ST, SUITE 211, PATCHOGUE, NY 11772-3121
(631) 569-4646
(631) 893-4020

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
F401022
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02931419
NY
01
933831
MEDICARE PTAN
NY
Enumeration date
07/23/2014
Last updated
03/07/2023
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