SearchNew York163W00000X

Brandon Kuretski

NPI 1699210773 · on the registry since 2016

Practice

Address
125 Demopolis Ave
Staten Island, NY 10308
Phone
(191) 745-0093
Fax
(917) 450-0932

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-12-28

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