Provider Demographics
NPI:1740328335
Name:KURTZ, STEVEN MS (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MS
Last Name:KURTZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:506 SPOOK HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-1109
Mailing Address - Country:US
Mailing Address - Phone:845-642-8461
Mailing Address - Fax:646-219-4619
Practice Address - Street 1:57 W 57TH ST
Practice Address - Street 2:#1007
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2802
Practice Address - Country:US
Practice Address - Phone:212-658-0110
Practice Address - Fax:646-219-4619
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008806103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical