Individual
ASHA SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 CAMBRIA RD, SYOSSET, NY 11791-6501
(516) 313-5170
Mailing address
24 CAMBRIA RD, SYOSSET, NY 11791-6501
(516) 313-5170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021037446
NY
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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