MARLO SUAZO
NPI 1821412065
Clinic/Center - Radiology, Mobile in Lake Grove, NY
About Marlo Suazo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARLO SUAZO (NPI 1821412065) is an individual radiology, mobile provider in Lake Grove, New York and active in the NPI registry since February 2014.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marlo Suazo's NPI number?
The NPI number for Marlo Suazo is 1821412065. It was assigned to this individual provider in the NPPES registry on February 7, 2014.
Where is Marlo Suazo located?
Marlo Suazo practices at 11 Bayard St, Lake Grove, NY 11755. The listed phone number is (631) 912-7476.
What is Marlo Suazo's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile, with taxonomy code 261QR0208X.
When was this NPI record last updated?
The NPPES record for Marlo Suazo was last updated on February 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marlo Suazo · NPI 1821412065
Radiology, Mobile provider in Lake Grove, New York. Individual provider, active in the CMS NPPES registry since February 7, 2014.
## Identity
- **NPI:** 1821412065 (Entity type: Individual)
- **Enumerated:** February 7, 2014
- **Primary specialty:** Clinic/Center - Radiology, Mobile · taxonomy 261QR0208X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11 BAYARD ST, Lake Grove, NY 11755-3147
- **Phone:** (631) 912-7476
## Record status
- **NPPES last updated:** February 7, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1821412065) · Data from the CMS NPPES public registry.