Provider Demographics
NPI:1568720514
Name:STEFAN KURUCZ MD PC
Entity Type:Organization
Organization Name:STEFAN KURUCZ MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KURUCZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-735-4114
Mailing Address - Street 1:300 N MIDDLETOWN RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1262
Mailing Address - Country:US
Mailing Address - Phone:845-735-4114
Mailing Address - Fax:
Practice Address - Street 1:300 N MIDDLETOWN RD
Practice Address - Street 2:SUITE 11
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1262
Practice Address - Country:US
Practice Address - Phone:845-735-4114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128630207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty