Individual
CRISTINA SURACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1030, NEW YORK, NY 10029-6500
(212) 241-0511
(212) 289-5971
Mailing address
413 2ND ST, JERSEY CITY, NJ 07302-2217
(212) 241-0511
(212) 289-5971
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F303739
NY
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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