Suazo, Marlo

Suazo, Marlo is an sole proprietor health care provider with primary practice located at 11 Bayard St , Lake Grove NY 11755-3147. He recently has only one registered license in Ambulatory Health Care Facilities / Radiology, Mobile, which is considered as his primary health care specialty. Suazo, Marlo can be contacted via phone (631) 912-7476.

Contact Information

Primary practice address
11 Bayard St Lake Grove NY 11755-3147
Phone: (631) 912-7476
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X

Profile Details

NPI number 1821412065
LBN Legal business name Suazo, Marlo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2014
Last updated Feb 7th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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