Provider Demographics
NPI:1073614806
Name:KURLANDER, PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:
Last Name:KURLANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:516-938-3467
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:516-938-3467
Practice Address - Fax:800-557-3140
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192136-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01454791Medicaid
NY71H871Medicare ID - Type Unspecified
NYA400031504Medicare PIN
NY01454791Medicaid
NYF58454Medicare UPIN