Individual
MARIE SUROVITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
2 2ND ST, APT 806, JERSEY CITY, NJ 07302-3096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NY
2085R0202X
Diagnostic Radiology Physician
Primary
—
NY
Other
Enumeration date
04/29/2015
Last updated
07/21/2022
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