Provider Demographics
NPI:1659880524
Name:SUAREZ, ALICIA (CD(DONA), CBC, LCCE)
Entity Type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:CD(DONA), CBC, LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 W 138TH ST APT 2C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1714
Mailing Address - Country:US
Mailing Address - Phone:646-456-4056
Mailing Address - Fax:
Practice Address - Street 1:48 WEST 138TH STREET
Practice Address - Street 2:#2C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037
Practice Address - Country:US
Practice Address - Phone:646-456-4056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula