Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | P09943 | NY |
NPI | 1578049417 |
---|---|
Provider Name | Dr. Derman Basaran |
First Address | New York, NY 10065-7920 |
Second Address | New York, NY 10065-7920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2018 |
Last Update Date | 13/07/2018 |