Individual
CAROLE M SURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 SHERMAN DR, SPRING VALLEY, NY 10977-4332
(845) 300-3886
Mailing address
13 SHERMAN DR, SPRING VALLEY, NY 10977-4332
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313619
NY
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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