Surlyn, Colleen Stephanie

Surlyn, Colleen Stephanie is an sole proprietor health care provider with primary practice located at 632 Broadway Ph , New York NY 10012-2614. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Surlyn, Colleen Stephanie can be contacted via phone (347) 933-6246.

Contact Information

Primary practice address
632 Broadway Ph New York NY 10012-2614
Phone: (347) 933-6246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 270474 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 270474-1 New York

Profile Details

NPI number 1053649418
LBN Legal business name Surlyn, Colleen Stephanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2009
Last updated Oct 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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