Organization
CAROLE MARLY SURIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLE MARLY SURIN (LPN)
(845) 300-3886
Entity
Organization
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
(845) 517-2034
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
313619-1
NY
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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