Individual provider · Type 1 NPI

Gobuiwang Khilly Kurusa, MD

Student in an Organized Health Care Education/Training Program · New Hyde Park, NY

NPI number 1033069208 Active

Practice location

410 Lakeville Rd Ste 200
New Hyde Park, NY 11042-1103

Call (516) 562-2944 Map

Fax (516) 525-2585

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033069208

Gobuiwang Khilly Kurusa, MD's National Provider Identifier is 1033069208, issued on Jan 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Hyde Park, NY. The record was last updated on Jan 29, 2026.