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

Individual provider Internal Medicine Physician · NPI 1063899029

Marie Surovitsky, DO is a Diagnostic Radiology in Staten Island, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2014, 12 years ago. Practices with MSKCC Radiology Group, a 195-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X (NY)
Internal Medicine Physician Taxonomy 207R00000X (NY)

Record details

NPI number1063899029
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 29, 2015
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2014 (12 years in practice)
Group practice Mskcc Radiology Group — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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