Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 270951 | NY |
N | 2081S0010X | Sports Medicine | 270951 | NY |
N | 213ES0000X | Sports Medicine | 270951 | NY |
NPI | 1184868531 |
---|---|
Provider Name | Dr. Michael Robert Jurkowich |
First Address | Brooklyn, NY 11215-2801 |
Second Address | Forest Hills, NY 11375-7417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2009 |
Last Update Date | 27/01/2015 |