Provider Demographics
NPI:1699392944
Name:AY, NUR ZEYNEP (MD)
Entity Type:Individual
Prefix:
First Name:NUR
Middle Name:ZEYNEP
Last Name:AY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 CAMBRIDGE STREET ST ELIZABETHS MEDICAL CENTER
Mailing Address - Street 2:GRADUATE MEDICAL EDUCATION (DIANE GIACALONE)
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135
Mailing Address - Country:US
Mailing Address - Phone:857-207-7858
Mailing Address - Fax:617-789-2438
Practice Address - Street 1:736 CAMBRIDGE STREET ST ELIZABETHS MEDICAL CENTER
Practice Address - Street 2:GRADUATE MEDICAL EDUCATION (DIANE GIACALONE)
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02135
Practice Address - Country:US
Practice Address - Phone:857-207-7858
Practice Address - Fax:617-789-2438
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2022-04-20
Deactivation Date:2022-01-17
Deactivation Code:
Reactivation Date:2022-04-20
Provider Licenses
StateLicense IDTaxonomies
MA284893390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program