Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SUZANNE PAVELOCK
Active Sole ProprietorMRS. SUZANNE PAVELOCK is a Behavioral Health, Residential healthcare provider located in RONKONKOMA, New York. NPI 1740695097 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · RONKONKOMA, NY
Registration Details
- NPI Number
- 1740695097
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 25, 2014 (12.181963646416 yrs)
- Last Updated
- Jun 25, 2014
- License
-
827294 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
90 AIRPARK DRIVERONKONKOMA, NY, 11779Browse NY providers · Browse ZIP 11779
- Phone
- 6315804001
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
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.