MARLO SUAZO

LAKE GROVE, NY
NPI1821412065
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QR0208X Clinic/Center, Radiology, Mobile
Enumeration Date2014-02-07
Last Update Date2014-02-07
Business Address
-- MARLO SUAZO
11 BAYARD ST
LAKE GROVE, NY 11755-3147
Phone number: 631-912-7476
Mailing Address
-- MARLO SUAZO
11 BAYARD ST
LAKE GROVE, NY 11755-3147
Phone number: 631-912-7476