Provider Demographics
NPI:1457926412
Name:ALTOK, MUAMMER (MD)
Entity Type:Individual
Prefix:
First Name:MUAMMER
Middle Name:
Last Name:ALTOK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3041 ORCHARD PARK RD STE C
Mailing Address - Street 2:ATT: CREDENTIALING
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1238
Mailing Address - Country:US
Mailing Address - Phone:716-674-3104
Mailing Address - Fax:716-674-0666
Practice Address - Street 1:10175 NIAGARA FALLS BLVD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-2941
Practice Address - Country:US
Practice Address - Phone:716-285-0853
Practice Address - Fax:716-322-3283
Is Sole Proprietor?:No
Enumeration Date:2021-05-23
Last Update Date:2023-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY07366250208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07366250Medicaid