Healthcare Provider Details

I. General information

NPI: 1427672294
Provider Name (Legal Business Name): MELISSA SUGGS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2020
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 SAW MILL RIVER RD STE UL7
HAWTHORNE NY
10532-1535
US

IV. Provider business mailing address

40 SAW MILL RIVER RD STE UL7
HAWTHORNE NY
10532-1535
US

V. Phone/Fax

Practice location:
  • Phone: 914-313-3937
  • Fax:
Mailing address:
  • Phone: 914-313-3937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number338935-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207WX0110X
TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician
License Number338935-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: