Individual
SANJEEV J SURATWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
833 NORTHERN BLVD, SUITE 220, GREAT NECK, NY 11021-5315
(516) 622-7930
Mailing address
833 NORTHERN BLVD, SUITE 220, GREAT NECK, NY 11021-5315
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
0101243403
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447296355
—
VA
Enumeration date
06/20/2006
Last updated
02/15/2011
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