Provider Demographics
NPI:1366036220
Name:DOGAN, SIRIN (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:SIRIN
Middle Name:
Last Name:DOGAN
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 N 6TH PL APT 7T
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-3430
Mailing Address - Country:US
Mailing Address - Phone:720-431-7043
Mailing Address - Fax:
Practice Address - Street 1:2 N 6TH PL APT 7T
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-3430
Practice Address - Country:US
Practice Address - Phone:720-431-7043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1629177163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant