CHRISTINA M. SUOZZO NP PSYCHIATRY PC (NPI# 1639587652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639587652 |
| Entity Type | Organization |
| Organization Name | CHRISTINA M. SUOZZO NP PSYCHIATRY PC |
| Practice Address |
475 E Main St Suite 211 Patchogue NY 11772-3121 |
| Practice Telephone | 6315694646 |
| Practice Fax Number | 6318934020 |
| Mailing Telephone | 6315694646 |
| Mailing Fax Number | 6318934020 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |
| Authorized Official Name | MRS. DEBRA COANE (OFFICE MANAGER) |
| Authorized Official Telephone | 6316814754 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
F401022 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DEA | MS1589588 | 01 |
| NY | 02931419 | 05 | |
| NY | MEDICARE PTAN | 933831 | 01 |
| Street Address |
475 E MAIN ST SUITE 211 |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125909 | Gina Maria Cardone | Optometrist | 475 E Main St, 104, Patchogue, NY 11772-3121 | 2005-06-24 |
| 1689210098 | Rebecca Lynn Mueller | Social Worker | 475 E Main St, Patchogue, NY 11772-3121 | 2019-11-20 |
| 1770128753 | Amanda Mackillop | Registered Nurse | 475 E Main St, Patchogue, NY 11772-3121 | 2019-11-13 |
| 1033751110 | Zachary Carlton Johnson | Social Worker | 475 E Main St, Patchogue, NY 11772-3121 | 2019-10-10 |
| 1033614128 | Caitlyn Figoski | Social Worker | 475 E Main St, Patchogue, NY 11772-3121 | 2018-03-29 |
| 1952814683 | Erika Delco | Social Worker | 475 E Main St, Patchogue, NY 11772-3121 | 2017-11-16 |
| 1326571365 | Katelynn Andriano | Social Worker | 475 E Main St, Patchogue, NY 11772-3121 | 2017-04-06 |
| 1912440496 | Stephanie Kawko | Social Worker | 475 E Main St, Patchogue, NY 11772-3121 | 2016-12-01 |
| 1811343049 | Debra Gruda Lcsw PC | Social Worker | 475 E Main St, Suite 211, Patchogue, NY 11772-3121 | 2016-05-06 |
| 1063867976 | Theraputic Medical Infusion PC | Anesthesiology | 475 E Main St, Suite 114, Patchogue, NY 11772-3121 | 2016-04-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740802776 | Erin Delgado | Registered Nurse | 2399 N Union Street Ext, Olean, NY 14760-1574 | 2020-05-13 |
| 1811518210 | Janay Jasmine Smalls | Registered Nurse | 430 Irving Ave, Syracuse, NY 13210-2343 | 2020-04-27 |
| 1265061741 | Shaniqua Charisse Hunter | Registered Nurse | 7 Lawrence Dr Apt D, White Plains, NY 10603-1348 | 2020-04-06 |
| 1780229401 | Sherly Mammen | Registered Nurse | 90 Birchwood Dr, New Hyde Park, NY 11040-3742 | 2019-11-18 |
| 1972148641 | Sam Mathew | Registered Nurse | 8251 251st St, Bellerose, NY 11426-2527 | 2019-11-17 |
| 1568005171 | Anchala Thykkoottathil Joy | Registered Nurse | 119 Terrace Ave, Elmont, NY 11003-1738 | 2019-10-26 |
| 1558853408 | Afolabi O Adegbite | Registered Nurse | 402 Screvin Ave, Bronx, NY 10473-1810 | 2018-06-05 |
| 1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
| 1861922189 | Tara Relation | Registered Nurse | 574 N Star Rd, Mooers, NY 12958-3617 | 2017-06-19 |
| 1326578881 | Corrinne Marie Corrado | Registered Nurse | 32 Douglaston Dr, Plattsburgh, NY 12901-4927 | 2017-06-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.