Provider Demographics
NPI:1205647963
Name:KUROWSKI MD SPINE AND PAIN MANAGEMENT LLC
Entity type:Organization
Organization Name:KUROWSKI MD SPINE AND PAIN MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MAREK
Authorized Official - Middle Name:
Authorized Official - Last Name:KUROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-522-6235
Mailing Address - Street 1:PO BOX 259
Mailing Address - Street 2:
Mailing Address - City:MILL HALL
Mailing Address - State:PA
Mailing Address - Zip Code:17751-0259
Mailing Address - Country:US
Mailing Address - Phone:570-980-1518
Mailing Address - Fax:833-973-0773
Practice Address - Street 1:930 BELLEFONTE AVE STE 101
Practice Address - Street 2:
Practice Address - City:LOCK HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17745-2749
Practice Address - Country:US
Practice Address - Phone:570-980-1518
Practice Address - Fax:833-973-0773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty