Healthcare Provider Details

I. General information

NPI: 1700820818
Provider Name (Legal Business Name): ROBERT G CURRAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 11/03/2010
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:
Title or Position:
Credential:
Phone: