Provider Demographics
NPI:1518197490
Name:OZERDEM, UGUR (MD)
Entity Type:Individual
Prefix:DR
First Name:UGUR
Middle Name:
Last Name:OZERDEM
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:NEW YORK UNIVERSITY LANGONE MEDICAL CENTER
Mailing Address - Street 2:560 1ST AVE DEPT OF PATHOLOGY ROOM TH415J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:858-775-4055
Mailing Address - Fax:
Practice Address - Street 1:NEW YORK UNIVERSITY LANGONE MEDICAL CENTER
Practice Address - Street 2:560 1ST AVE DEPT OF PATHOLOGY ROOM TH415J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:858-775-4055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-24
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267894-1207ZP0102X
IL036129782207ZP0102X
NY267894207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology