MEDICARE: DR. CARLOS KUREK M.D.

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	207L00000X	Anesthesiology Physician	212115-1	NY
2	207L00000X	Anesthesiology Physician	A53619	CA

General Provider Information

NPI Number	:	1639135270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLOS KUREK M.D.

Provider Business Mailing Address
First Line	:	90 RADCLIFFE DR
Second Line	:
City	:	GETZVILLE
State	:	NY
Zip	:	14068-1284
Country	:	US
Telephone Number	:	716-639-8928
Fax Number	:

Provider Business Practice Location Address
First Line	:	1540 MAPLE RD
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14221-3647
Country	:	US
Telephone Number	:	716-568-6633
Fax Number	:

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

Provider Enumeration Date	:	04/22/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. CARLOS KUREK M.D.” Practice Location

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