Healthcare Provider Details

I. General information

NPI: 1871655977
Provider Name (Legal Business Name): MARINA KURMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2995 OCEAN PKWY
BROOKLYN NY
11235-8390
US

IV. Provider business mailing address

45 OCEANA DR E APT 1A
BROOKLYN NY
11235-6677
US

V. Phone/Fax

Practice location:
  • Phone: 718-975-4330
  • Fax:
Mailing address:
  • Phone: 718-840-8850
  • Fax: 718-975-4337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberF304258
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number304258
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: