Provider Demographics
NPI:1457327256
Name:EMRE, SUKRU (MD)
Entity Type:Individual
Prefix:
First Name:SUKRU
Middle Name:
Last Name:EMRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:BOX 1263
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:212-241-7646
Mailing Address - Fax:212-534-4079
Practice Address - Street 1:5 EAST 98TH ST
Practice Address - Street 2:14TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-6574
Practice Address - Country:US
Practice Address - Phone:212-241-7646
Practice Address - Fax:212-534-4079
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2014-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY197826204F00000X, 2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01649316Medicaid
G13771Medicare UPIN
NY200331Medicare ID - Type Unspecified