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Individual

DR. JEFFREY ALLEN KURTA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
143 N LONG BEACH RD, ROCKVILLE CENTRE, NY 11570-4438
(516) 678-0300
(516) 678-9171
Mailing address
143 N LONG BEACH RD, ROCKVILLE CENTRE, NY 11570-4438
(516) 678-0300
(516) 678-9171

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
143992
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00564916
NY
Enumeration date
11/14/2005
Last updated
07/08/2007
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