Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 164986 | NY |
NPI | 1023064565 |
---|---|
Provider Name | Erdal S Erturk |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-0002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 26/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01078500 | (05) | NY |
164986-2 | NYS WORKERS COMPENSATION (01) | NY |
B78002 | (02) | NY |