Provider Demographics
NPI:1891932612
Name:KURIAN, THURUTHEL JACOB (RPH)
Entity Type:Individual
Prefix:MR
First Name:THURUTHEL
Middle Name:JACOB
Last Name:KURIAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 S HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920-2213
Mailing Address - Country:US
Mailing Address - Phone:845-268-0080
Mailing Address - Fax:718-399-6895
Practice Address - Street 1:280 NOSTRAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-4927
Practice Address - Country:US
Practice Address - Phone:718-623-9533
Practice Address - Fax:718-399-6895
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044319183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist