Provider Demographics
NPI:1548514821
Name:DUMAN, SAHESER OZLEM (LAC)
Entity type:Individual
Prefix:
First Name:SAHESER
Middle Name:OZLEM
Last Name:DUMAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1862 E 14TH ST
Mailing Address - Street 2:APT 5H
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2852
Mailing Address - Country:US
Mailing Address - Phone:347-400-3282
Mailing Address - Fax:
Practice Address - Street 1:1862 E 14TH ST
Practice Address - Street 2:APT:5 H
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2852
Practice Address - Country:US
Practice Address - Phone:347-400-3282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00087800171100000X
NY004070171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MZ00087800OtherACUPUNCTURE STATE LICENSE
NY004070OtherACUPUNCTURE STATE LICENSE