ELIEZER GURKOV


Address: 888 Montgomery St, Apt F12, Brooklyn, NY 11213-5888
Phone: 7188640963

ELIEZER GURKOV (NPI# 1447615737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447615737
Entity Type Individual
Full Name ELIEZER GURKOV
Credential PA-C
Practice Address 888 Montgomery St
Apt F12
Brooklyn
NY 11213-5888
Practice Telephone 7188640963
Mailing Telephone 7188640963
Enumeration Date 2015-12-31
Last Update Date 2015-12-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
019398 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 888 MONTGOMERY ST
APT F12
City BROOKLYN
State NY
Zip Code 11213-5888

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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1982156816 Chad Smartt Physician Assistant 988 E 39th St, Brooklyn, NY 11210-3508 2016-10-26
1154870913 Christina Masaitis Physician Assistant 2171 E 18th St, Apt 1c, Brooklyn, NY 11229-4468 2016-09-22
1588039846 Inna Kremen Physician Assistant 2829 Ocean Pkwy Ste 3, Brooklyn, NY 11235-7859 2015-12-11
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Competitor

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City BROOKLYN
Zip Code 11213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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