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1790915130
ANTHONY SURBAN
ELMHURST, NY
NPI
1790915130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F400617-1)
Enumeration Date
2009-07-20
Last Update Date
2009-07-20
Business Address
-- ANTHONY SURBAN NP-P
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-4000
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Mailing Address
-- ANTHONY SURBAN NP-P
5769 65TH ST
MASPETH, NY 11378-2824
Phone number: 917-561-4719
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