Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 236320 | NY |
Y | 207K00000X | Allergist & Immunologist | 236320-1 | NY |
N | 208000000X | Pediatrician | 236320-1 | NY |
NPI | 1124139829 |
---|---|
Provider Name | Gozen Tuysuzoglu |
First Address | Demarest, NJ 07627-0206 |
Second Address | New York, NY 10033-4831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 29/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BT7516961 | DEA (01) | NY |