IndividualActive
Abo Suyonov, PA
NPI 1881865533 · Physician Assistant · Mineola, NY
Provider details
- NPI number
- 1881865533
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5601008481 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
700 Hickville Road
259 1st Street
Mineola, NY 11501
Phone: (516) 663-8312
Fax: (516) 663-2184
Approximate (ZIP-level) locationGet directions
Mailing address
700 Hicksville Rd
Bethpage, NY 11714-3471
Registry dates
- Enumerated
- 2008-03-20
- Last updated
- 2017-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.