Provider Demographics
NPI:1457657132
Name:SEYALIOGLU, OYA (MD)
Entity Type:Individual
Prefix:DR
First Name:OYA
Middle Name:
Last Name:SEYALIOGLU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:877 STEWART AVE
Mailing Address - Street 2:STE 33
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4803
Mailing Address - Country:US
Mailing Address - Phone:516-745-5621
Mailing Address - Fax:516-227-2544
Practice Address - Street 1:877 STEWART AVE
Practice Address - Street 2:STE 33
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4803
Practice Address - Country:US
Practice Address - Phone:516-745-5621
Practice Address - Fax:516-227-2544
Is Sole Proprietor?:No
Enumeration Date:2011-01-28
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY276074208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics