Basic Information
| Provider Information | |||||||||
| NPI: | 1346859899 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VARKEY | ||||||||
| FirstName: | SUREKHA | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11 SUTTON DR | ||||||||
| Address2: | |||||||||
| City: | COHOES | ||||||||
| State: | NY | ||||||||
| PostalCode: | 120471467 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5182217194 | ||||||||
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| Practice Location | |||||||||
| Address1: | 23 HACKETT BLVD | ||||||||
| Address2: | |||||||||
| City: | ALBANY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 122083436 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5182623341 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/29/2020 | ||||||||
| LastUpdateDate: | 07/29/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | 345938 | NY | Y | Allopathic & Osteopathic Physicians | Urology |
No ID Information.