Provider Demographics
NPI:1740216431
Name:IYRIBOZ, TUNC A (MD)
Entity type:Individual
Prefix:
First Name:TUNC
Middle Name:A
Last Name:IYRIBOZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 E 53RD ST APT 7H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4914
Mailing Address - Country:US
Mailing Address - Phone:212-202-0854
Mailing Address - Fax:212-537-7335
Practice Address - Street 1:333 E 53RD ST APT 7H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4914
Practice Address - Country:US
Practice Address - Phone:212-202-0854
Practice Address - Fax:212-537-7335
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2385622085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H27725Medicare UPIN
H27725Medicare UPIN