Individual
DR. SUPREETI BEHURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 SEAVIEW AVE STE 200, STATEN ISLAND, NY 10305-3400
(718) 226-5800
(718) 226-7891
Mailing address
501 SEAVIEW AVE STE 200, STATEN ISLAND, NY 10305-3400
(718) 226-5800
(718) 226-7891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
68116-20
WI
207RC0000X
Cardiovascular Disease Physician
Primary
273407
NY
207RC0000X
Cardiovascular Disease Physician
68116-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417240268
—
NY
Enumeration date
05/25/2011
Last updated
01/25/2023
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