Individual
DR. KEVIN RURAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 E 102ND ST, NEW YORK, NY 10029-6030
(212) 241-5656
(212) 241-8866
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD464824
PA
207R00000X
Internal Medicine Physician
MT209494
PA
207RP1001X
Pulmonary Disease Physician
Primary
298948
NY
Other
Enumeration date
06/09/2015
Last updated
05/23/2022
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