Healthcare Provider Details

I. General information

NPI: 1326030305
Provider Name (Legal Business Name): NEAL H SHUREN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2005
Last Update Date: 03/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 ROUTE 59
AIRMONT NY
10952
US

IV. Provider business mailing address

507 AIRPORT EXECUTIVE PARK
NANUET NY
10954-5238
US

V. Phone/Fax

Practice location:
  • Phone: 845-356-2900
  • Fax: 845-356-7797
Mailing address:
  • Phone: 845-356-2900
  • Fax: 845-356-7797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number187591
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number187591
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: