Individual provider · Type 1 NPI

Hazel Suba

Physician Assistant · New York, NY

NPI number 1083545297 Active

Practice location

875 5th Ave # 1CDE
New York, NY 10065-4952

Mailing address

39 S Williams St
Bergenfield, NJ 07621-2328

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083545297

Hazel Suba's National Provider Identifier is 1083545297, issued on May 27, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on May 27, 2026.