Provider Demographics
NPI:1326030305
Name:SHUREN, NEAL H (MD)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:H
Last Name:SHUREN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 AIRPORT EXECUTIVE PARK
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-5238
Mailing Address - Country:US
Mailing Address - Phone:845-356-2900
Mailing Address - Fax:845-356-7797
Practice Address - Street 1:327 ROUTE 59
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952
Practice Address - Country:US
Practice Address - Phone:845-356-2900
Practice Address - Fax:845-356-7797
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187591207XS0106X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01672673Medicaid
NY5777050OtherAETNA PPO
NY0D0557OtherHEALTHNET
NY570F42OtherEMPIRE BCBS (MONROE)
NYP582639OtherOXFORD
NY0029106OtherGHI PPO
NY0763533OtherAETNA HMO#
NY132721370OtherTAX ID#
NY570F41OtherEMPIRE BCBS (STONY POINT)
NY570F43OtherEMPIRE BCBS (AIRMONT)
NY603445OtherMVP (MONROE)
NY200027903OtherRAILROAD MEDICARE
NY603444OtherMVP (AIRMONT/STONY POINT)
NY5777050OtherAETNA PPO
NY0D0557OtherHEALTHNET
NY01672673Medicaid