Doctor Name: | DR. AMARJOT SURDHAR |
NPI Number: | 1225205990 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 279309 |
Business Practice Address: | 7559 263rd St Zucker Hillside Hospital Littauer Building Glen Oaks, NY - 110041150 |
Business Phone Number: | 7184708950 |
Business Fax Number: | |
Mailing Address: | 7559 263rd St, Zucker Hillside Hospital Littauer Building GLEN OAKS |
State: | NY |
Postal Code: | 11004 |
Phone Number: | 7184708950 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2008 |
NPI Last Update Date: | 04/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 279309 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |