Individual
BURTON SURICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 UNION SQ E, NEW YORK, NY 10003-3314
(212) 420-4520
Mailing address
PO BOX 95000-2424, PHILADELPHIA, PA 19195-2424
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
175555
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01350912
—
NY
Enumeration date
11/15/2005
Last updated
12/20/2012
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