Provider Demographics
NPI:1548615156
Name:GULCUR, LEYLA (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEYLA
Middle Name:
Last Name:GULCUR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 GREENWICH AVE
Mailing Address - Street 2:5C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8313
Mailing Address - Country:US
Mailing Address - Phone:212-243-0592
Mailing Address - Fax:
Practice Address - Street 1:48 GREENWICH AVE
Practice Address - Street 2:5C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8313
Practice Address - Country:US
Practice Address - Phone:212-243-0592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021593103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist