Provider Demographics
NPI:1679916365
Name:GUR, INGA (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:INGA
Middle Name:
Last Name:GUR
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7110 21ST AVE
Mailing Address - Street 2:APT. 5A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-5806
Mailing Address - Country:US
Mailing Address - Phone:917-640-7175
Mailing Address - Fax:
Practice Address - Street 1:7110 21ST AVE
Practice Address - Street 2:APT. 5A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-5806
Practice Address - Country:US
Practice Address - Phone:917-640-7175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist