Provider Demographics
NPI:1366248353
Name:SUAREZ, ALEJANDRA (MSED)
Entity type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 PARKER AVE
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1833
Mailing Address - Country:US
Mailing Address - Phone:347-681-4473
Mailing Address - Fax:
Practice Address - Street 1:331 PARKER AVE
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1833
Practice Address - Country:US
Practice Address - Phone:347-681-4473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ252Y00000X
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency