Individual
ANTHONY SURBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-P
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-4000
Mailing address
5769 65TH ST, MASPETH, NY 11378-2824
(917) 561-4719
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400617-1
NY
Other
Enumeration date
07/20/2009
Last updated
10/21/2025
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