Provider Demographics
NPI:1063862621
Name:CURLEY, JAMES GERARD
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:GERARD
Last Name:CURLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3828 ALLEN CT
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2528
Mailing Address - Country:US
Mailing Address - Phone:516-282-5615
Mailing Address - Fax:
Practice Address - Street 1:3828 ALLEN CT
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-2528
Practice Address - Country:US
Practice Address - Phone:516-282-5615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program