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Suzanne Pavelock
NPI 1740695097 · on the registry since 2014 · sole proprietor
Practice
- Address
- 90 Airpark Drive
Ronkonkoma, NY 11779 - Phone
- (631) 580-4001
- Organisation at this address
- Developmental Disabilities Institute
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 251C00000X
251C00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York