JILL M LAUREANO SURBER DO PC NPI 1992112387

NPI Information

  • NPI: 1992112387
  • Provider Name: JILL M LAUREANO SURBER DO PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: FAMILY MEDICINE OF NORTHERN NEW YORK
  • Address: 20053 SUMMIT VIEW BLVD STE 1
    WATERTOWN, NY
    ZIP 13601
  • Phone: (315) 755-2560

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NPI Details

JILL M LAUREANO SURBER DO PC is a family medicine in Watertown, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JILL M LAUREANO SURBER DO PC NPI is 1992112387. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Medicine Of Northern New York.

The provider's business location address is:

20053 SUMMIT VIEW BLVD STE 1
WATERTOWN, NY
ZIP 13601-170
Phone: (315) 755-2560
Fax: (315) 755-2597

The provider's authorized official is Jill Laureano-surber .
The authorized official title is Owner and has the following contact phone number (315) 755-2560.

The enumeration date for this NPI number is 7/17/2014 and was last updated on 1/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine271910NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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