Provider Demographics
NPI:1881737146
Name:SARACOGLU, LEYLA (LAC)
Entity type:Individual
Prefix:MRS
First Name:LEYLA
Middle Name:
Last Name:SARACOGLU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:175 REMSEN ST
Mailing Address - Street 2:SUITE 1103
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4300
Mailing Address - Country:US
Mailing Address - Phone:917-771-2277
Mailing Address - Fax:718-237-2526
Practice Address - Street 1:175 REMSEN ST
Practice Address - Street 2:SUITE 1103
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4300
Practice Address - Country:US
Practice Address - Phone:917-771-2277
Practice Address - Fax:718-237-2526
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002428-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist