Healthcare Provider Details

I. General information

NPI: 1750593497
Provider Name (Legal Business Name): FROILAN SUAREZ DMSC, MS, PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 HAZEN ST
EAST ELMHURST NY
11370-1361
US

IV. Provider business mailing address

10946 132ND ST # 1A
JAMAICA NY
11420-1709
US

V. Phone/Fax

Practice location:
  • Phone: 347-774-8742
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number008756
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: