Provider Demographics
NPI:1700820818
Name:CURRAN, ROBERT G (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:G
Last Name:CURRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 HEMPSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:MALVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11565-1201
Mailing Address - Country:US
Mailing Address - Phone:516-678-0076
Mailing Address - Fax:516-763-0981
Practice Address - Street 1:306 HEMPSTEAD AVE
Practice Address - Street 2:
Practice Address - City:MALVERNE
Practice Address - State:NY
Practice Address - Zip Code:11565-1201
Practice Address - Country:US
Practice Address - Phone:516-678-0076
Practice Address - Fax:516-763-0981
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY176137207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY110094287OtherRAILROAD MEDICARE
NYAP756OtherOXFORD
NY03203OtherGHI MEDICARE
NYG400024845OtherMEDICARE PIN QUEENS
NY176137OtherHIP
NY2C8787OtherHEALTHNET
NY01460044Medicaid
NYAP756OtherOXFORD
NY03203OtherGHI MEDICARE
NYA400018126Medicare PIN