Dr. Colleen Stephanie Surlyn
Internist Internist - Addiction Medicine
632 Broadway Ph
New York
, New York 10012-2614
Dr. Colleen Stephanie Surlyn
Internist Internist - Addiction Medicine
632 Broadway Ph
New York
, New York 10012-2614
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Colleen Stephanie Surlyn
- 64 Bleecker St # 151
- New York, NY
- Zip : 10012-2410
- Phone :
Second Address
- Dr. Colleen Stephanie Surlyn
- 632 Broadway Ph
- New York, NY
- Zip : 10012-2614
- Phone : (347) 933-6246
Reviews
FAQs
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Is Dr. Colleen Stephanie Surlyn a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 270474-1 | NY |
| Y | 111NI0900X | Internist | 270474-1 | NY |
| N | 207RA0401X | Internist - Addiction Medicine | 270474 | NY |
National Provider Identifier
| NPI | 1053649418 |
|---|---|
| Provider Name | Dr. Colleen Stephanie Surlyn |
| First Address | New York, NY 10012-2410 |
| Second Address | New York, NY 10012-2614 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/11/2009 |
| Last Update Date | 21/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.