Provider Demographics
NPI:1154791549
Name:KURSO, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:KURSO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 BRONXVILLE RD APT A72
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-2866
Mailing Address - Country:US
Mailing Address - Phone:646-712-4231
Mailing Address - Fax:
Practice Address - Street 1:270 BRONXVILLE RD APT A72
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-2866
Practice Address - Country:US
Practice Address - Phone:646-712-4231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030271235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist