JACK SURIANO

STONY BROOK, NY
NPI1275313165
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  405310-01)
Enumeration Date2023-09-29
Last Update Date2025-09-18
Business Address
JACK SURIANO PMHNP-BC
PUTNAM HALL
STONY BROOK, NY 11794-0001
Phone number: 631-632-2428
Mailing Address
JACK SURIANO PMHNP-BC
PUTNAM HALL
STONY BROOK, NY 11794-0001
Phone number: 631-632-2428