Healthcare Provider Details

I. General information

NPI: 1245013515
Provider Name (Legal Business Name): SUZE PACIUS NURSE PRACTITIONER IN PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 W MERRICK RD STE 201
FREEPORT NY
11520-3743
US

IV. Provider business mailing address

155 W MERRICK RD STE 201
FREEPORT NY
11520-3743
US

V. Phone/Fax

Practice location:
  • Phone: 516-726-4752
  • Fax: 516-400-0144
Mailing address:
  • Phone: 516-726-4752
  • Fax: 516-400-0144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUZE PACIUS
Title or Position: OWNER
Credential:
Phone: 516-726-4752