Provider Demographics
NPI:1265722474
Name:MOREJON SUAREZ, ARNALDO LUIS
Entity type:Individual
Prefix:
First Name:ARNALDO
Middle Name:LUIS
Last Name:MOREJON SUAREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4628 BEACH SHORE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-7161
Mailing Address - Country:US
Mailing Address - Phone:646-233-9237
Mailing Address - Fax:
Practice Address - Street 1:82151 COUNTRY POINTE CIR
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-3001
Practice Address - Country:US
Practice Address - Phone:347-255-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-10
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health