| Doctor Name: | VIKTORIYA SULEYMANOVA |
| NPI Number: | 1053719187 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 018222 |
| Business Practice Address: | 100 Port Washington Blvd Roslyn, NY - 115761347 |
| Business Phone Number: | 5165626000 |
| Business Fax Number: | |
| Mailing Address: | 7925 150th St, Apt D17 FLUSHING |
| State: | NY |
| Postal Code: | 113673812 |
| Phone Number: | 6465251188 |
| Fax Number: | |
| NPI Enumeration Date: | 12/05/2014 |
| NPI Last Update Date: | 12/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 018222 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |