Provider Demographics
NPI:1023113453
Name:KURTZ, SETH D (MD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:D
Last Name:KURTZ
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 1:81 SKILLMAN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-2803
Mailing Address - Country:US
Mailing Address - Phone:718-694-9000
Mailing Address - Fax:718-237-9305
Practice Address - Street 1:1 MAIN ST
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-3704
Practice Address - Country:US
Practice Address - Phone:845-371-7200
Practice Address - Fax:718-237-9305
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08499800208000000X, 207P00000X
NY232596208000000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02811094Medicaid
NY02811094Medicaid
NY743Z41Medicare PIN