Individual
MR. ABO SUYONOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
700 HICKVILLE ROAD, 259 1ST STREET, MINEOLA, NY 11501
(516) 663-8312
(516) 663-2184
Mailing address
700 HICKSVILLE RD, SUITE 204, BETHPAGE, NY 11714-3471
(516) 576-6106
(516) 576-5801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011213
NY
363A00000X
Physician Assistant
5601008481
MI
Other
Enumeration date
03/20/2008
Last updated
11/03/2017
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