Individual
MR. MYUNG W SURH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
178 CLIZBE AVE, AMSTERDAM, NY 12010-7520
(518) 843-8745
(518) 842-9633
Mailing address
178 CLIZBE AVE, AMSTERDAM, NY 12010-7520
(518) 843-8745
(518) 842-9633
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
153719
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002008
CDPHP
NY
01
—
5301
MVP
NY
05
—
859361
—
NY
Enumeration date
09/26/2006
Last updated
06/11/2012
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