Provider Demographics
NPI:1689018798
Name:KURAVSKIY, NECHAMA (MSED)
Entity Type:Individual
Prefix:
First Name:NECHAMA
Middle Name:
Last Name:KURAVSKIY
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 LEFFERTS AVE APT 4B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-4566
Mailing Address - Country:US
Mailing Address - Phone:718-493-7332
Mailing Address - Fax:
Practice Address - Street 1:525 LEFFERTS AVE APT 4B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-4566
Practice Address - Country:US
Practice Address - Phone:718-493-7332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70686613171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator