Individual provider · Type 1 NPI

Michael Suzzivalli

Physician Assistant · Port Jefferson, NY

NPI number 1194737973 Active

Practice location

635 Belle Terre Rd, Suite #204
Port Jefferson, NY 11777-1935

Call (631) 474-0008 Map

Fax (631) 474-0224

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X008264 (NY)

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 1194737973

Michael Suzzivalli's National Provider Identifier is 1194737973, issued on Aug 12, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port Jefferson, NY. The record was last updated on Jan 27, 2010.