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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL SUZZIVALLI

Active

MICHAEL SUZZIVALLI is a Physician Assistant healthcare provider located in PORT JEFFERSON, New York. NPI 1194737973 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PORT JEFFERSON, NY

Registration Details

NPI Number
1194737973
Provider Type
Individual
Gender
Male
NPI Issued
Aug 12, 2006 (19.965079185092 yrs)
Last Updated
Jan 27, 2010
License
008264 (NY)

Practice Information

Address
635 BELLE TERRE RD
SUITE #204
PORT JEFFERSON, NY, 117771935
Browse NY providers · Browse ZIP 11777
Phone
6314740008
Fax
6314740224
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PORT JEFFERSON, NY

Name Credential NPI
JOSEPH M AUDIINO P.A. 1487620100
KEITH C FIELD P.A. 1710953435
IGOR LIZOGUBENKO P.A. 1033163035
TRACY M MOREA PA 1265463541
RONALD ROSSI RPA-C 1225062581
CHRISTINA THOMPSON PA 1861589285
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.