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Individual

SUREIN THEIVAKUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
333 E 38TH ST, NEW YORK, NY 10016-2772
(646) 501-7200
(212) 571-7465
Mailing address
550 1ST AVE, NYU LANGONE MEDICAL CENTER, NEW YORK, NY 10016-6402
(212) 263-5506

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
298625
NY
390200000X
Student in an Organized Health Care Education/Training Program
NJ
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Enumeration date
04/09/2015
Last updated
09/12/2022
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