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Individual

LAURA SURMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
7980 STATE RTE 12, BARNEVELD, NY 13304
(315) 624-8440
(315) 624-5152
Mailing address
3246 MILITARY RD., NEWPORT, NY 13416

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
414403
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
414403
NY
Enumeration date
10/03/2006
Last updated
07/08/2007
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