Individual
DANIEL KURBANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 N VILLAGE AVE STE 300, ROCKVILLE CENTRE, NY 11570-2300
(516) 536-8151
Mailing address
200 N VILLAGE AVE STE 300, ROCKVILLE CENTRE, NY 11570-2300
(516) 536-8151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
61669
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
303509
NY
207RP1001X
Pulmonary Disease Physician
303509
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2014
Last updated
11/19/2021
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