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

MARLO SUAZO

Active Sole Proprietor

MARLO SUAZO is a Radiology, Except MRI healthcare provider located in LAKE GROVE, New York. NPI 1821412065 is currently active in the NPPES registry. Verify at CMS.

Radiology, Except MRI · LAKE GROVE, NY

Registration Details

NPI Number
1821412065
Provider Type
Individual
Gender
Male
NPI Issued
Feb 7, 2014 (12.326164854513 yrs)
Last Updated
Feb 7, 2014
Sole Proprietor
Yes

Practice Information

Address
11 BAYARD ST
LAKE GROVE, NY, 117553147
Browse NY providers · Browse ZIP 11755
Phone
6319127476
Primary Specialty
Radiology, Except MRI
261QR0208X
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.