Provider Demographics
NPI:1437333671
Name:KURIAN, JUVIN JACOB (PA-C)
Entity type:Individual
Prefix:MR
First Name:JUVIN
Middle Name:JACOB
Last Name:KURIAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HUNNEWELL AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-2708
Mailing Address - Country:US
Mailing Address - Phone:516-502-6295
Mailing Address - Fax:
Practice Address - Street 1:8900, VAN WYCK EXPRESSWAY
Practice Address - Street 2:JAMAICA HOSPITAL MEDICAL CENTER, DEPT. OF SURGERY
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11418-2832
Practice Address - Country:US
Practice Address - Phone:718-206-6715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008230363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant