Provider Demographics
NPI:1407099823
Name:KURK, CINDY (MSCCCSLPTSHH)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:
Last Name:KURK
Suffix:
Gender:F
Credentials:MSCCCSLPTSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-5031
Mailing Address - Country:US
Mailing Address - Phone:516-764-6541
Mailing Address - Fax:
Practice Address - Street 1:109 VERMONT AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-5031
Practice Address - Country:US
Practice Address - Phone:516-764-6541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007649-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist