Provider Demographics
NPI:1932414471
Name:MARCIANO, SUZANNE
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:
Last Name:MARCIANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3280 SUNRISE HWY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-4024
Mailing Address - Country:US
Mailing Address - Phone:888-443-7215
Mailing Address - Fax:
Practice Address - Street 1:3280 SUNRISE HWY
Practice Address - Street 2:SUITE 301
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-4024
Practice Address - Country:US
Practice Address - Phone:888-443-7215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist