Individual
ANTHONY SURACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3107 STONY POINT RD, GRAND ISLAND, NY 14072-1170
(716) 773-2606
Mailing address
3107 STONY POINT RD, GRAND ISLAND, NY 14072-1170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000076
NY
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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