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

Individual provider Licensed Practical Nurse · NPI 1316265606

Marc Surpris, LPN is a Licensed Practical Nurse in Queens Village, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

22121 Jamaica Ave 2 Fl
Queens Village, NY 11428-2015
Phone: (718) 468-6923
Fax: (718) 468-6925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 300729 (NY)

Record details

NPI number1316265606
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedMay 11, 2010
Last updated in NPPESMay 11, 2010

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