Individual
JENNIFER LAUREN SURATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 DUMONT AVE, STATEN ISLAND, NY 10305-1450
(718) 667-8510
(718) 667-8884
Mailing address
26 DUMONT AVE, STATEN ISLAND, NY 10305-1450
(718) 667-8510
(718) 667-8884
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
695162
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010
—
NY
Enumeration date
05/18/2015
Last updated
05/18/2015
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