Individual
MR. EUGENE KURPAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
966 CLOVE RD UNIT R, STATEN ISLAND, NY 10301-3630
(646) 671-2261
Mailing address
341A HAROLD ST, STATEN ISLAND, NY 10314-4165
(646) 671-2261
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
706117
NY
363LF0000X
Family Nurse Practitioner
Primary
350788
NY
Other
Enumeration date
08/19/2015
Last updated
01/27/2023
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