Michael Suzzivalli
NPI #1194737973 in Port Jefferson, New York
Provider Information
- NPI Number
- 1194737973
- Entity Type
- Individual
- Name
- Michael Suzzivalli
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Aug 12, 2006
- Last Updated
- Jan 27, 2010
Practice Location
- Address
- 635 BELLE TERRE RD
- Address 2
- SUITE #204
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-1935
- Phone
- (631) 474-0008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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