Provider Demographics
NPI:1518476530
Name:CIFTCI SEVIL, SEDA (PSYD)
Entity Type:Individual
Prefix:
First Name:SEDA
Middle Name:
Last Name:CIFTCI SEVIL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:SEDA
Other - Middle Name:
Other - Last Name:CIFTCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:8 BRAYTON RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1420
Mailing Address - Country:US
Mailing Address - Phone:347-302-4251
Mailing Address - Fax:
Practice Address - Street 1:3959 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1559
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-21
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021698103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical