Active NPIIndividual providerSole proprietor

Eliezer Gurkov, PA-C

Physician Assistant, Medical in Spring Valley, New York

NPI Number1447615737
Practice location
175 Route 59, Spring Valley, NY 10977-5231
Fax
845-501-2360
Last updated
May 27, 2021

Eliezer Gurkov is a Physician Assistant, Medical based in Spring Valley, NY. Eliezer Gurkov practices in Spring Valley, NY and has the professional credentials of PA-C. The NPI Number for Eliezer Gurkov is 1447615737 and holds a License No. 019398 (NY). The current practice location address for Eliezer Gurkov is 175 Route 59, Spring Valley, NY 10977-5231 and can be reached out via phone at 845-694-8888 and via fax at 845-501-2360.

Provider Profile Details

NPI Number
1447615737
Provider Name
Eliezer Gurkov
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
175 Route 59, Spring Valley, NY 10977-5231
Phone Number
845-694-8888
Fax Number
845-501-2360
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 31, 2015
Last Update Date
May 27, 2021
Certification Date
May 27, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Route 59
Spring Valley, NY 10977-5231
Zip
10977-5231
Phone Number
845-694-8888
Fax Number
845-501-2360
Spring Valley, NY 10977Get directions →

Provider Business Mailing Address Details

Address
13 Tamarack Ln
Pomona, NY 10970-2005
City
Pomona
State
NY
Zip
10970-2005
Phone Number
718-864-0963

License Information

License Number
019398
License State
NY
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eliezer Gurkov, PA-C?

The NPI number of Eliezer Gurkov, PA-C is 1447615737. It was assigned on December 31, 2015 and is currently active in the NPPES registry.

What is the specialty of Eliezer Gurkov, PA-C?

Eliezer Gurkov, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 019398.

Where does Eliezer Gurkov, PA-C practice?

The practice location is 175 Route 59, Spring Valley, NY 10977-5231. The office can be reached at 845-694-8888 (phone) or 845-501-2360 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447615737 directly on the NPPES registry website.

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