- Practice location
- 6010 Bay Pkwy Ste 902, Brooklyn, NY 11204-6091
- Phone
- 718-475-1700
- Fax
- 718-475-1702
- Last updated
- October 17, 2019
Bruno Marius Suditu is a Physician Assistant based in Brooklyn, NY. Bruno Marius Suditu practices in Brooklyn, NY and has the professional credentials of PA. The NPI Number for Bruno Marius Suditu is 1427236835 and holds a License No. 014453 (NY). The current practice location address for Bruno Marius Suditu is 6010 Bay Pkwy Ste 902, Brooklyn, NY 11204-6091 and can be reached out via phone at 718-475-1700 and via fax at 718-475-1702.
Provider Profile Details
- NPI Number
- 1427236835
- Provider Name
- Bruno Marius Suditu
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6010 Bay Pkwy Ste 902, Brooklyn, NY 11204-6091
- Phone Number
- 718-475-1700
- Fax Number
- 718-475-1702
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 7, 2008
- Last Update Date
- October 17, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6010 Bay Pkwy Ste 902
Brooklyn, NY 11204-6091 - City
- Brooklyn
- State
- New York
- Zip
- 11204-6091
- Phone Number
- 718-475-1700
- Fax Number
- 718-475-1702
Provider Business Mailing Address Details
- Address
- 24 Stevens St
Norwalk, CT 06850-3852 - City
- Norwalk
- State
- CT
- Zip
- 06850-3852
- Phone Number
- 203-852-2000
License Information
- License Number (1)
- 014453
- License State (1)
- NY
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- 3520
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bruno M Suditu, PA?
The NPI number of Bruno M Suditu, PA is 1427236835. It was assigned on February 7, 2008 and is currently active in the NPPES registry.
What is the specialty of Bruno M Suditu, PA?
Bruno M Suditu, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 014453.
Where does Bruno M Suditu, PA practice?
The practice location is 6010 Bay Pkwy Ste 902, Brooklyn, NY 11204-6091. The office can be reached at 718-475-1700 (phone) or 718-475-1702 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427236835 directly on the NPPES registry website.