MEDICARE: BRIANNA SUAREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1437012705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA SUAREZ

Provider Business Mailing Address
First Line	:	2505 LORILLARD PL APT 1D
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-5945
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 BERGEN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-4010
Country	:	US
Telephone Number	:	917-439-7973
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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Directions to “ BRIANNA SUAREZ ” Practice Location

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