Most Relevant Information
Provider Data
| NPI Number: | 1003588054 |
| Provider Name: | SUHASINI NEELAM SATISH |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 25MP00704400 |
Most Important Dates
| Enumeration Date: | 09/29/2021 |
| Last Updated: | 10/02/2024 |
Provider Practice Location
234 E 149TH ST BRONX
NEW YORK
NY
10451
Practice Location Phone/Fax
| Phone: | 7185795000 |
| Fax: |
Provider Mailing Location
205 PRESTWICK WAY
EDISON
NJ
088204676
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |