SAMANTHA DAWN SURACE (NPI# 1518234111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518234111 |
| Entity Type | Individual |
| Full Name | SAMANTHA DAWN SURACE |
| Credential | FAMILY NURSE PRACTIT |
| Practice Address |
21 Louise Dr West Nyack NY 10994-1911 |
| Mailing Address |
5380 Tech Data Dr Ste 101 Clearwater FL 33760-3122 |
| Practice Telephone | 8452695740 |
| Mailing Telephone | 8452695740 |
| Enumeration Date | 2011-11-27 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 468023-1 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F341222-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9820 Hutchinson Park Drive, Jacksonville, FL 32225 | 9044506740 |
| Street Address |
21 LOUISE DR |
| City | WEST NYACK |
| State | NY |
| Zip Code | 10994-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588209415 | Tenisha Neil-robinson | Social Worker | Rockland Boces, 65 Parrott Road, West Nyack, NY 10994 | 2019-11-14 |
| 1063948792 | Kristine Uzolina-shportko | Dentist | 3645 Palisades Center Drive, West Nyack, NY 10994 | 2017-05-01 |
| 1689016909 | Kathleen Ann Colaluca-borbon | Behavioral Analyst | 10 Brookhill Dr, West Nyack, NY 10994 | 2013-07-28 |
| 1528409380 | Donald Alvin Winikoff | Pediatrics | 12 Woodward Road, West Nyack, NY 10994 | 2013-07-09 |
| 1740557107 | Patricia Martone | Registered Nurse | 65 Parrott Rd., West Nyack, NY 10994 | 2011-11-29 |
| 1679855142 | Rockland Children's Psychiatric Center | Psychiatric Hospital | 65 Parrott Road, Bldg.6, West Nyack, NY 10994 | 2011-09-12 |
| 1306128814 | Rockland Children's Psychiatric Center | Psychiatric Hospital | 65 Parrott Road Building 6, West Nyack, NY 10994 | 2011-09-12 |
| 1851616940 | Susan Marie Toscano | Early Intervention Provider Agency | 7 Kenbar Rd, West Nyack, NY 10994 | 2010-03-31 |
| 1225282007 | Maria Rossetti | Speech-Language Pathologist | 65 Parrot Road, Rockland Boces, West Nyack, NY 10994 | 2008-11-06 |
| 1932377645 | All Care Family Nurse Practitioners LLC | Nurse Practitioner | 2244 Palisades Center Drive, West Nyack, NY 10994 | 2008-02-15 |
| Find all providers in zip 10994 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013471796 | Steven Carroll | Nurse Practitioner | 3 Demarest Mill Rd, West Nyack, NY 10994-1503 | 2019-01-26 |
| 1093192619 | Jennifer Cimino Poterbin | Nurse Practitioner | 59 N Greenbush Rd, West Nyack, NY 10994-2021 | 2015-05-04 |
| 1740692953 | Lucia Amendano | Nurse Practitioner | 17 Rose Rd, West Nyack, NY 10994-2115 | 2014-05-21 |
| 1821103805 | Annemarie Jeanne Mcdermott | Nurse Practitioner | 2 Crosfield Ave Ste 318, West Nyack, NY 10994-2220 | 2006-08-20 |
| 1548242027 | Patricia Meade-d'alisera | Nurse Practitioner | 2244 Palisades Center Dr, West Nyack, NY 10994-6402 | 2005-11-18 |
| 1336624964 | Claudia Marseille | Nurse Practitioner | 2 Crosfield Ave Ste 318, West Nyack, NY 10994-2220 | 2018-09-28 |
| 1053676965 | Margaret Mary Cardamona | Nurse Practitioner | 2 Medical Park Dr, Suite 5, West Nyack, NY 10994-1965 | 2012-07-06 |
| 1801122759 | Julie Ann Krauchuk | Nurse Practitioner | 2 Strawtown Rd, West Nyack, NY 10994-1847 | 2009-10-28 |
| 1306060454 | Denise Schultz | Nurse Practitioner | 2 Crosfield Ave, Suite 202, West Nyack, NY 10994-2226 | 2007-04-12 |
| 1033294301 | Lorraine Olivero-brodeur | Nurse Practitioner | 2 Medical Park Dr, Suite 3, West Nyack, NY 10994-1965 | 2006-10-26 |
| Find all providers in WEST NYACK | ||||
| City | WEST NYACK |
| Zip Code | 10994 |
Please comment or provide details below to improve the information on SAMANTHA DAWN SURACE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.