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

Corey Suraci

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417646688

Corey Suraci is a Student in an Organized Health Care Education/Training Program in Bloomsburg, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

549 Fair St
Bloomsburg, PA 17815-1419
Phone: (570) 416-1925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417646688
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2023
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023
Mailing address549 Fair St, Bloomsburg, PA 17815-1419

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