Provider Demographics
NPI:1558435206
Name:ERHAN-SANGENITO, HULYA (PH D)
Entity Type:Individual
Prefix:
First Name:HULYA
Middle Name:
Last Name:ERHAN-SANGENITO
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 NATHAN D PERLMAN PL
Mailing Address - Street 2:2 BERNSTEIN PAVILION
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3851
Mailing Address - Country:US
Mailing Address - Phone:212-420-4714
Mailing Address - Fax:212-420-4397
Practice Address - Street 1:10 NATHAN D PERLMAN PL
Practice Address - Street 2:2 BERNSTEIN PAVILION
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3851
Practice Address - Country:US
Practice Address - Phone:212-420-4714
Practice Address - Fax:212-420-4397
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012511103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01624395Medicaid
NYP2574817OtherOXFORD PROV #
NYS18187Medicare UPIN
NYP2574817OtherOXFORD PROV #