Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 185844 | NY |
Y | 207RH0003X | Hematology & Oncology | 185844 | NY |
N | 207RX0202X | Medical Oncology | 185844 | NY |
NPI | 1295838076 |
---|---|
Provider Name | Joseph G Jurcic |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 26/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F78075 | (02) |