National Provider Identifier

Anthony Surace

Anthony Surace is listed in the NPPES registry with a primary specialty of Specialist in Grand Island, NY and a listed phone number of (716) 773-2606.

NPI 1790228021Grand Island, NYSpecialist

Profile Overview

NPI
1790228021
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
November 17, 2016
Last Updated
November 17, 2016

Practice Location

  • 3107 Stony Point RD
  • Grand Island, NY 14072-1170

Phone: (716) 773-2606

Specialties

  • Specialist (174400000X)
Full Record
NPI
1790228021
Entity Type
Individual
Last Name
Surace
First Name
Anthony
Mailing Street Address
3107 Stony Point RD
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-1170
Mailing Country
US
Practice Street Address
3107 Stony Point RD
Practice City
Grand Island
Practice State
NY
Practice ZIP Code
14072-1170
Practice Country
US
Practice Phone
(716) 773-2606
Enumeration Date
November 17, 2016
Last Updated
November 17, 2016
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)