Provider Demographics
NPI:1487004479
Name:KURMAN, JOANNA (DDS)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:KURMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 E 86TH ST APT 6D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0520
Mailing Address - Country:US
Mailing Address - Phone:201-638-5360
Mailing Address - Fax:
Practice Address - Street 1:314 W 56TH ST STE LB
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-4208
Practice Address - Country:US
Practice Address - Phone:212-764-5464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-21
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0592121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice