Provider Demographics
NPI:1770116667
Name:KURANT, CHAVA D (BSN, MSN, AYP)
Entity type:Individual
Prefix:MRS
First Name:CHAVA
Middle Name:D
Last Name:KURANT
Suffix:
Gender:F
Credentials:BSN, MSN, AYP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701
Mailing Address - Country:US
Mailing Address - Phone:347-835-1339
Mailing Address - Fax:732-364-4313
Practice Address - Street 1:3525 BAYCHESTER AVE
Practice Address - Street 2:SPLIT ROCK REHAB & NURSING
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466
Practice Address - Country:US
Practice Address - Phone:718-298-3900
Practice Address - Fax:718-298-3901
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF341522-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily