Organization
MICHAEL R JURKOWICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA L SCOTT (CREDENTIALING SPECIALIST)
(407) 797-5958
Entity
Organization
Contact information
Practice address
783 POST RD # 785, SCARSDALE, NY 10583-5010
(718) 554-1171
Mailing address
7 FAIRVIEW AVE, PORT WASHINGTON, NY 11050-4013
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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