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Individual

DR. PHILIP STEVEN GURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
559 ATLANTIC AVE, EAST ROCKAWAY, NY 11518-1530
(516) 593-8333
(516) 593-8344
Mailing address
559 ATLANTIC AVE, EAST ROCKAWAY, NY 11518-1530
(516) 593-8333
(516) 593-8344

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X005605-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5897788
GHI
NY
01
808342
MANAGED PHYSICAL NETWORK
NY
01
C05605-3
WORKERS COMPENSATION
NY
01
P00123334
PALMETTO GBA
01
P3204341
OXFORD HEALTH PLANS
01
X6F91
BLUE CROSS BLUESHIELD
NY
Enumeration date
10/11/2006
Last updated
07/08/2007
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