Healthcare Provider Details

I. General information

NPI: 1699203307
Provider Name (Legal Business Name): DR. SURKHAY BEBIYA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2017
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 MANHATTAN AVE
BROOKLYN NY
11222-2227
US

IV. Provider business mailing address

881 MANHATTAN AVE
BROOKLYN NY
11222-2227
US

V. Phone/Fax

Practice location:
  • Phone: 212-226-7666
  • Fax:
Mailing address:
  • Phone: 212-226-7666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number330163
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: