Provider Demographics
NPI:1467860213
Name:ERTURUL, SEMA
Entity Type:Individual
Prefix:MS
First Name:SEMA
Middle Name:
Last Name:ERTURUL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SEMA
Other - Middle Name:
Other - Last Name:ATILGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1660 E 13TH ST APT B5
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1129
Mailing Address - Country:US
Mailing Address - Phone:646-644-3069
Mailing Address - Fax:
Practice Address - Street 1:1660 E 13TH ST APT B5
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1129
Practice Address - Country:US
Practice Address - Phone:646-644-3069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY807809174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist