MEDICARE: DR. KURT RELATION DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	P85013	NY
2	213ES0103X	Foot & Ankle Surgery Podiatrist	006697	NY

General Provider Information

NPI Number	:	1467791947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KURT RELATION DPM

Provider Business Mailing Address
First Line	:	1882 NEW SCOTLAND RD STE 100
Second Line	:
City	:	SLINGERLANDS
State	:	NY
Zip	:	12159-3627
Country	:	US
Telephone Number	:	518-527-3223
Fax Number	:	518-252-3042

Provider Business Practice Location Address
First Line	:	1882 NEW SCOTLAND RD STE 100
Second Line	:
City	:	SLINGERLANDS
State	:	NY
Zip	:	12159-3627
Country	:	US
Telephone Number	:	518-527-3223
Fax Number	:	518-252-3042

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2013
Last Update Date	:	12/05/2023

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