Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 197826 | NY |
N | 2086S0127X | Trauma Surgeon | 197826 | NY |
NPI | 1457327256 |
---|---|
Provider Name | Sukru Emre |
First Address | New York, NY 10029-6574 |
Second Address | New York, NY 10002-6574 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 10/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01649316 | (05) | NY |
G13771 | (02) |