MRS. Suzann Tavella, SE
NPI #1225386014 in Manorville, New York
Provider Information
- NPI Number
- 1225386014
- Entity Type
- Individual
- Name
- MRS. Suzann Tavella, SE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- SE
- Enumeration Date
- Aug 27, 2012
- Last Updated
- Sep 19, 2012
Practice Location
- Address
- 16 WRIGHT RD
- City
- Manorville
- State
- New York
- ZIP Code
- 11949-3427
- Phone
- (631) 399-1517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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