Individual
ELIEZER GURKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
175 ROUTE 59, SPRING VALLEY, NY 10977-5231
(845) 694-8888
(845) 501-2360
Mailing address
13 TAMARACK LN, POMONA, NY 10970-2005
(718) 864-0963
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019398
NY
Other
Enumeration date
12/31/2015
Last updated
05/27/2021
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