Provider Demographics
NPI:1033747472
Name:KUYUMCUOGLU, ANNA (LCAT)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:
Last Name:KUYUMCUOGLU
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 BROAD ST APT 1204
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-1972
Mailing Address - Country:US
Mailing Address - Phone:917-538-8292
Mailing Address - Fax:
Practice Address - Street 1:15 BROAD ST APT 1204
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-1972
Practice Address - Country:US
Practice Address - Phone:917-538-8292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002264101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health