Individual
ELAINA SURIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1101
(516) 734-8947
Mailing address
410 LAKEVILLE RD STE 212, NEW HYDE PARK, NY 11042-1122
(516) 734-8947
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
324483
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
06/25/2024
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