Individual
KURT MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6911
Mailing address
105 E 19TH ST APT 2A, NEW YORK, NY 10003-2139
(908) 770-9598
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383815
NY
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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