| Sergio G. Suarez Physician Pc | |
|
72 Guy Lombardo Avenue Suite 1 Freeport NY 11520-3742 | |
| (516) 377-2727 | |
| (516) 377-8088 |
| Full Name | Sergio G. Suarez Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 72 Guy Lombardo Avenue, Freeport, New York |
| Authorized Official Name and Position | Sergio Gabriel Suarez (PRESIDENT) |
| Authorized Official Contact | 5163772727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sergio G. Suarez Physician Pc 72 Guy Lombardo Ave Suite 1 Freeport NY 11520-3742 Ph: (516) 377-2727 | Sergio G. Suarez Physician Pc 72 Guy Lombardo Avenue Suite 1 Freeport NY 11520-3742 Ph: (516) 377-2727 |
| NPI Number | 1164729794 |
|---|---|
| Provider Enumeration Date | 02/17/2011 |
| Last Update Date | 02/17/2011 |
| Medicare PECOS PAC ID | 2769658301 |
|---|---|
| Medicare Enrollment ID | O20120103000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164729794 | NPI | - | NPPES |
| 01635047 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sergio Gabriel Suarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417920091 PECOS PAC ID: 3678749215 Enrollment ID: I20120103000007 |
| Provider Name | Diego Hernan Suarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427460252 PECOS PAC ID: 1052712577 Enrollment ID: I20210622001368 |
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