Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 247696 | NY |
NPI | 1013189224 |
---|---|
Provider Name | Suzanne Elizabeth Newstead |
First Address | Forest Hills, NY 11375-2029 |
Second Address | Forest Hills, NY 11375 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2008 |
Last Update Date | 16/08/2018 |