Provider Demographics
NPI:1780614834
Name:OZCAN, SAFINAZ TULIN (MD)
Entity type:Individual
Prefix:DR
First Name:SAFINAZ
Middle Name:TULIN
Last Name:OZCAN
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 1:333 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3206
Mailing Address - Country:US
Mailing Address - Phone:203-785-6610
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510
Practice Address - Country:US
Practice Address - Phone:585-260-7909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT38257207VM0101X
NY001860207VM0101X
VA0101272604207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7391096OtherAETNA
NY02100049Medicaid
NYMDH637OtherPREFERRED CARE
NYP010001860OtherBLUE SHIELD OF ROCHESTER
NYP010001860OtherBLUE CHOICE
NYDD5774Medicare ID - Type Unspecified
NYMDH637OtherPREFERRED CARE
NYP010001860OtherBLUE SHIELD OF ROCHESTER