Provider Demographics
NPI:1326328550
Name:ALLAN, SUZANNA (MS, CGC)
Entity Type:Individual
Prefix:
First Name:SUZANNA
Middle Name:
Last Name:ALLAN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 COMMUNITY DR RM 110
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5506
Mailing Address - Country:US
Mailing Address - Phone:516-918-4800
Mailing Address - Fax:516-918-4839
Practice Address - Street 1:225 COMMUNITY DR RM 110
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5506
Practice Address - Country:US
Practice Address - Phone:516-918-4800
Practice Address - Fax:516-918-4839
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-19
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS