Individual
URVARSHI SURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1629 NORMAN ST, RIDGEWOOD, NY 11385-5702
(718) 812-6865
Mailing address
1629 NORMAN ST, RIDGEWOOD, NY 11385-5702
(718) 812-6865
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006812-1
NY
Other
Enumeration date
12/09/2012
Last updated
12/09/2012
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