MICHAEL SUZZIVALLI

PORT JEFFERSON, NY
NPI1194737973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  008264)
Enumeration Date2006-08-12
Last Update Date2010-01-27
Business Address
-- MICHAEL SUZZIVALLI
635 BELLE TERRE RD SUITE #204
PORT JEFFERSON, NY 11777-1935
Phone number: 631-474-0008
Mailing Address
-- MICHAEL SUZZIVALLI
635 BELLE TERRE RD SUITE #204
PORT JEFFERSON, NY 11777-1935
Phone number: 631-474-0008
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