MEDICARE: MRS. CHAVA D KURANT BSN, MSN, AYP

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	363LF0000X	Family Nurse Practitioner	F341522-1	NY

General Provider Information

NPI Number	:	1770116667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHAVA D KURANT BSN, MSN, AYP

Provider Business Mailing Address
First Line	:	418 ARLINGTON AVE
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701
Country	:	US
Telephone Number	:	347-835-1339
Fax Number	:	732-364-4313

Provider Business Practice Location Address
First Line	:	3525 BAYCHESTER AVE
Second Line	:	SPLIT ROCK REHAB & NURSING
City	:	BRONX
State	:	NY
Zip	:	10466
Country	:	US
Telephone Number	:	718-298-3900
Fax Number	:	718-298-3901

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

Provider Enumeration Date	:	02/19/2020
Last Update Date	:	02/19/2020

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