Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | SURIV1 | NY |
NPI | 1780879619 |
---|---|
Provider Name | Veena Suri |
First Address | New York, NY 10019-2929 |
Second Address | New York, NY 10019-2929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2007 |
Last Update Date | 13/09/2007 |