Provider Demographics
NPI:1790180958
Name:SUGGS, RENARD
Entity Type:Individual
Prefix:MR
First Name:RENARD
Middle Name:
Last Name:SUGGS
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:RENARD
Other - Middle Name:
Other - Last Name:SUGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:126 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-1318
Mailing Address - Country:US
Mailing Address - Phone:516-486-7200
Mailing Address - Fax:516-486-7291
Practice Address - Street 1:126 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-1318
Practice Address - Country:US
Practice Address - Phone:516-486-7200
Practice Address - Fax:516-486-7291
Is Sole Proprietor?:No
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist