Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 106222 | NY |
NPI | 1003485129 |
---|---|
Provider Name | Sinem Yilmaz |
First Address | Port Jefferson Station, NY 11776-3306 |
Second Address | Port Jefferson Station, NY 11776-3306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2021 |
Last Update Date | 22/06/2021 |