Individual
DR. MARIE GRAZIELLA SURPRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
148 NICHOLS RD, NESCONSET, NY 11767-2115
(631) 467-0867
(631) 467-0892
Mailing address
148 NICHOLS RD, NESCONSET, NY 11767-2115
(631) 467-0867
(631) 467-0892
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2157481
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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