Provider Demographics
NPI:1508962986
Name:TATLI, YUSUF (MD)
Entity Type:Individual
Prefix:
First Name:YUSUF
Middle Name:
Last Name:TATLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 E 85TH ST
Mailing Address - Street 2:APT: PH-A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-3055
Mailing Address - Country:US
Mailing Address - Phone:917-364-2061
Mailing Address - Fax:
Practice Address - Street 1:228 E 85TH ST
Practice Address - Street 2:APT: PH-A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-3055
Practice Address - Country:US
Practice Address - Phone:917-364-2061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002297208100000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine