# EMMANUEL MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821370818
- **Authorized official:** ERVIN KURTS MD (OWNER)
- **Authorized official phone:** (718) 510-6861

## Contact information

- **Practice address:** 6514 108TH ST, 1C, FOREST HILLS, NY 11375-1856
- **Practice address phone:** (718) 510-6861
- **Practice address fax:** (718) 606-0377
- **Mailing address:** 6514 108TH ST, 1C, FOREST HILLS, NY 11375-1856
- **Mailing address phone:** (718) 510-6861
- **Mailing address fax:** (718) 606-0377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 241624 | NY | Yes |

## Other

- **Enumeration date:** 09/15/2011
- **Last updated:** 11/23/2011