Provider Demographics
NPI:1629492764
Name:DASPINAR, HATICE (LAC)
Entity Type:Individual
Prefix:
First Name:HATICE
Middle Name:
Last Name:DASPINAR
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 CARLLS PATH
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-1632
Mailing Address - Country:US
Mailing Address - Phone:631-482-2012
Mailing Address - Fax:
Practice Address - Street 1:670 CARLLS PATH
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-1632
Practice Address - Country:US
Practice Address - Phone:631-482-2012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005267-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist