Individual
DR. JOSEPH J SURACE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
235 E 105TH ST, APT. 7A, NEW YORK, NY 10029-4739
(516) 313-6561
Mailing address
235 E 105TH ST, APT. 7A, NEW YORK, NY 10029-4739
(516) 313-6561
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
270547-1
NY
Other
Enumeration date
01/03/2013
Last updated
04/28/2014
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