Healthcare Provider Details

I. General information

NPI: 1003086323
Provider Name (Legal Business Name): ROBERT G CURRAN MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2008
Last Update Date: 02/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 HEMPSTEAD AVE
MALVERNE NY
11565-1201
US

IV. Provider business mailing address

306 HEMPSTEAD AVE
MALVERNE NY
11565-1201
US

V. Phone/Fax

Practice location:
  • Phone: 516-678-0076
  • Fax: 516-763-0981
Mailing address:
  • Phone: 516-678-0076
  • Fax: 516-763-0981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number176137
License Number StateNY

VIII. Authorized Official

Name: DR. ROBERT G CURRAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 516-678-0076