National Provider Identifier
Elaine Marie Surowick
Elaine Marie Surowick is listed in the NPPES registry with a primary specialty of Massage Therapist in Ithaca, NY and a listed phone number of (607) 592-0760.
Profile Overview
- NPI
- 1073661773
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- January 08, 2007
- Last Updated
- July 08, 2007
Practice Location
- 2037 Slaterville RD
- Ithaca, NY 14850-9666
Phone: (607) 592-0760
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1073661773
- Entity Type
- Individual
- Last Name
- Surowick
- First Name
- Elaine
- Middle Name
- Marie
- Provider Other Last Name
- Surowick
- Provider Other First Name
- Elaine
- Provider Other Middle Name
- Marie
- Provider Other Credential Text
- LMT
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 2037 Slaterville RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9666
- Mailing Country
- US
- Mailing Phone
- (607) 592-0760
- Practice Street Address
- 2037 Slaterville RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9666
- Practice Country
- US
- Practice Phone
- (607) 592-0760
- Enumeration Date
- January 08, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)