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Individual

DR. MICHAEL ROBERT JURKOWICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1440 PORT WASHINGTON BLVD, PORT WASHINGTON, NY 11050-2412
(702) 899-0595
(702) 977-1496
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
270951
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
270951
NY
208VP0014X
Interventional Pain Medicine Physician
270951
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04052324
NY
Enumeration date
04/29/2009
Last updated
12/04/2025
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