Healthcare Provider Details

I. General information

NPI: 1093645541
Provider Name (Legal Business Name): AIMEE KURTZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

589 3RD AVE
NEW YORK NY
10016-2711
US

IV. Provider business mailing address

100 RIVERSIDE BLVD APT 11B
NEW YORK NY
10069-0415
US

V. Phone/Fax

Practice location:
  • Phone: 888-663-6331
  • Fax:
Mailing address:
  • Phone: 919-604-4501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number819969
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: