Provider Demographics
NPI:1265772701
Name:OLIVER KURUCZ MD PC
Entity type:Organization
Organization Name:OLIVER KURUCZ MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:S
Authorized Official - Last Name:KURUCZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-735-4114
Mailing Address - Street 1:300 N MIDDLETOWN RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1262
Mailing Address - Country:US
Mailing Address - Phone:845-735-4114
Mailing Address - Fax:845-732-8425
Practice Address - Street 1:300 N MIDDLETOWN RD
Practice Address - Street 2:SUITE 11
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1262
Practice Address - Country:US
Practice Address - Phone:845-735-4114
Practice Address - Fax:845-732-8425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223243207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY212AR1Medicare PIN