Individual
PROF. MARK EDWARD SURABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABD, ATP
Contact information
Practice address
5 FORDHAM HILL OVAL, 14G, BRONX, NY 10468-4854
(917) 586-8000
Mailing address
5 FORDHAM HILL OVAL, 14G, BRONX, NY 10468-4854
(917) 586-8000
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary
RESNA CERTIFIED ATP
NY
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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