Provider Demographics
NPI:1467791947
Name:RELATION, KURT (DPM)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:
Last Name:RELATION
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1882 NEW SCOTLAND RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SLINGERLANDS
Mailing Address - State:NY
Mailing Address - Zip Code:12159-3627
Mailing Address - Country:US
Mailing Address - Phone:518-527-3223
Mailing Address - Fax:518-252-3042
Practice Address - Street 1:1882 NEW SCOTLAND RD STE 100
Practice Address - Street 2:
Practice Address - City:SLINGERLANDS
Practice Address - State:NY
Practice Address - Zip Code:12159-3627
Practice Address - Country:US
Practice Address - Phone:518-527-3223
Practice Address - Fax:518-252-3042
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP85013213ES0103X
NY006697213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery