Individual
DR. ELLIMOOTTIL KURUVILLAI KURIAKOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13176 LAURELTON PKWY, ROSEDALE, NY 11422-1315
(718) 525-7000
(718) 949-3223
Mailing address
13176 LAURELTON PKWY, ROSEDALE, NY 11422-1315
(718) 525-7000
(718) 949-3223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
118767
NY
Other
Enumeration date
02/25/2006
Last updated
08/23/2013
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