Suriano, Jack

Suriano, Jack is an sole proprietor health care provider with primary practice located at Putnam Hall , Stony Brook NY 11794-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Suriano, Jack can be contacted via phone (631) 632-2428.

Contact Information

Primary practice address
Putnam Hall Stony Brook NY 11794-0001
Phone: (631) 632-2428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 405310-01 New York

Profile Details

NPI number 1275313165
LBN Legal business name Suriano, Jack
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2023
Last updated Sep 18th, 2025 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275313165 NPPES
New York MEDICAID 1447968417

Popular Providers