Provider Demographics
NPI:1710745773
Name:ATES, SERPIL (NP)
Entity Type:Individual
Prefix:
First Name:SERPIL
Middle Name:
Last Name:ATES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SERPIL
Other - Middle Name:
Other - Last Name:AKKOL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2465 FLORIN CT
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-4801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3 TECHNOLOGY DR STE 300
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-4073
Practice Address - Country:US
Practice Address - Phone:631-444-5220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311416363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care