Healthcare Provider Details

I. General information

NPI: 1003890385
Provider Name (Legal Business Name): FRANK J. SUATONI JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 COMMERCE DR
NEW ROCHELLE NY
10801-5214
US

IV. Provider business mailing address

35 CASTLE ROCK
BRANFORD CT
06405-4463
US

V. Phone/Fax

Practice location:
  • Phone: 914-637-3510
  • Fax: 914-819-0061
Mailing address:
  • Phone: 203-315-1387
  • Fax: 203-315-7725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number038550
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number217353
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: