Provider Demographics
NPI:1033496633
Name:PHILIP KURLANDER MD PC
Entity Type:Organization
Organization Name:PHILIP KURLANDER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:N
Authorized Official - Last Name:KURLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-488-9427
Mailing Address - Street 1:54 PHIPPS LN
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1948
Mailing Address - Country:US
Mailing Address - Phone:516-488-9427
Mailing Address - Fax:800-557-3140
Practice Address - Street 1:54 PHIPPS LN
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1948
Practice Address - Country:US
Practice Address - Phone:516-488-9427
Practice Address - Fax:800-557-3140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-09
Last Update Date:2012-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100058920Medicare PIN
NYA400031504Medicare PIN