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Organization

S. SWAMY SURASI, MDPC

Active
Other names
S. Surasi, MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SRIKRISHNA SWAMY SURASI M.D. (PRESIDENT)
(718) 596-4400
Entity
Organization

Contact information

Practice address
142 JORALEMON ST STE 9B, BROOKLYN, BROOKLYN, NY 11201-4709
(718) 596-4400
(718) 596-3332
Mailing address
142 JORALEMON ST, STE 9B, BROOKLYN, NY 11201-4709
(718) 596-4400
(718) 596-3332

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00700096
NY
01
33A221
P10
NY
Enumeration date
04/24/2008
Last updated
09/04/2009
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