Provider Demographics
NPI:1487180956
Name:YALCIN, BURCIN
Entity Type:Individual
Prefix:
First Name:BURCIN
Middle Name:
Last Name:YALCIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 MCVEIGH AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-6138
Mailing Address - Country:US
Mailing Address - Phone:347-264-9811
Mailing Address - Fax:
Practice Address - Street 1:205 MCVEIGH AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-6138
Practice Address - Country:US
Practice Address - Phone:347-264-9811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1123119171103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst