ANTHONY SURBAN

ELMHURST, NY
NPI1790915130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F400617-1)
Enumeration Date2009-07-20
Last Update Date2009-07-20
Business Address
-- ANTHONY SURBAN NP-P
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-4000
Mailing Address
-- ANTHONY SURBAN NP-P
5769 65TH ST
MASPETH, NY 11378-2824
Phone number: 917-561-4719