Provider Demographics
NPI:1871655977
Name:KURMAN, MARINA (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARINA
Middle Name:
Last Name:KURMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3048 BRIGHTON 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-8080
Mailing Address - Country:US
Mailing Address - Phone:718-368-1170
Mailing Address - Fax:718-368-2342
Practice Address - Street 1:3048 BRIGHTON 1ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-8080
Practice Address - Country:US
Practice Address - Phone:718-368-1170
Practice Address - Fax:718-368-2342
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF304258207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty