Individual provider · Type 1 NPI

Suzann Tavella, SE

Specialist · Manorville, NY

NPI number 1225386014 Active

Practice location

16 Wright Rd
Manorville, NY 11949-3427

Call (631) 399-1517 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1225386014

Suzann Tavella, SE's National Provider Identifier is 1225386014, issued on Aug 27, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Manorville, NY. The record was last updated on Sep 19, 2012.