Provider Demographics
NPI:1467772202
Name:ALPTEKIN, EVCAN (MD)
Entity Type:Individual
Prefix:
First Name:EVCAN
Middle Name:
Last Name:ALPTEKIN
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 1:46 MANTACK PATH
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-4553
Mailing Address - Country:US
Mailing Address - Phone:631-754-4942
Mailing Address - Fax:
Practice Address - Street 1:46 MANTACK PATH
Practice Address - Street 2:
Practice Address - City:KINGS PARK
Practice Address - State:NY
Practice Address - Zip Code:11754-4553
Practice Address - Country:US
Practice Address - Phone:631-754-4942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12288892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry