Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jill M Laureano Surber DO PC

Organization Family Medicine Physician · NPI 1992112387

Jill M Laureano Surber DO PC is a Family Medicine Physician in Watertown, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20053 Summit View Blvd Ste 1
Watertown, NY 13601-2170
Phone: (315) 755-2560
Fax: (315) 755-2597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 271910 (NY)

Record details

NPI number1992112387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Laureano-Surber — Owner · (315) 755-2560
Other names Family Medicine Of Northern New York
NPI enumeratedJuly 17, 2014
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024
Mailing address20053 Summit View Blvd Ste 1, Watertown, NY 13601-2170

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