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

Individual provider Addiction Medicine (Internal Medicine) Physician · NPI 1053649418

Dr. Colleen Stephanie Surlyn, MD is an Addiction Medicine (Internal Medicine) Physician in New York, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

632 Broadway Ph
New York, NY 10012-2614
Phone: (347) 933-6246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 920 Lark Dr, Albany, NY 12207-1300 — (518) 465-4771

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 270474-1 (NY)
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X · Licence 270474 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053649418
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 24, 2009
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021

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