National Provider Identifier
Bruce Allen Surosky, M.D.
Bruce Allen Surosky, M.D. is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Elmira, NY and a listed phone number of (607) 734-3968.
Profile Overview
- NPI
- 1215979018
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- June 13, 2006
- Last Updated
- April 04, 2024
Practice Location
- 1005 Walnut St
- Elmira, NY 14901-1007
Phone: (607) 734-3968
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1215979018
- Entity Type
- Individual
- Last Name
- Surosky
- First Name
- Bruce
- Middle Name
- Allen
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 1005 Walnut St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-1007
- Mailing Country
- US
- Mailing Phone
- (607) 734-3960
- Practice Street Address
- 1005 Walnut St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-1007
- Practice Country
- US
- Practice Phone
- (607) 734-3968
- Enumeration Date
- June 13, 2006
- Last Updated
- April 04, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 04, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X)
- Other Identifiers
- 01342878 (NY)