Provider Demographics
NPI:1952957177
Name:SCHULMAN, SUZANNE CARA (FNP)
Entity Type:Individual
Prefix:MISS
First Name:SUZANNE
Middle Name:CARA
Last Name:SCHULMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:SUZANNE
Other - Middle Name:CARA
Other - Last Name:CARMINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:22A CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-2534
Mailing Address - Country:US
Mailing Address - Phone:970-401-0468
Mailing Address - Fax:
Practice Address - Street 1:399 FORT SALONGA RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-3045
Practice Address - Country:US
Practice Address - Phone:631-757-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-13
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF344752-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily