SearchNew York164W00000X

Samuel Kurk

NPI 1124485834 · on the registry since 2016 · sole proprietor

Practice

Address
3411 Irwin Ave
Apt# 11b
Bronx, NY 10463
Phone
(917) 734-1725
Organisation at this address
Rugal Enterprises Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York