Individual
DR. BRUCE ALLEN SUROSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 WALNUT ST, ELMIRA, NY 14901-1007
(607) 734-3968
Mailing address
1005 WALNUT ST, ELMIRA, NY 14901-1007
(607) 734-3960
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
188993
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01342878
—
NY
Enumeration date
06/13/2006
Last updated
04/04/2024
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