Individual
KELLY MADELINE KURZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 FRONT ST, EAST MEADOW, NY 11554-2265
(516) 758-8670
Mailing address
61 FLORAL AVE, BETHPAGE, NY 11714-1220
(516) 938-2501
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
03/28/2024
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