Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 122900 | NY |
Y | 208600000X | Surgeon | 122900 | NY |
NPI | 1013000553 |
---|---|
Provider Name | Dr. Lewis Myles Kurtz |
First Address | Great Neck, NY 11023 |
Second Address | Great Neck, NY 11023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C06513 | (02) |