Provider Demographics
NPI:1548730062
Name:KETAFUZE PSYCHIATRIC SERVICES PC
Entity type:Organization
Organization Name:KETAFUZE PSYCHIATRIC SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FATIH
Authorized Official - Middle Name:
Authorized Official - Last Name:OZBAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-804-7500
Mailing Address - Street 1:1732 1ST AVE # 20710
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5177
Mailing Address - Country:US
Mailing Address - Phone:212-804-7500
Mailing Address - Fax:
Practice Address - Street 1:115 BROADWAY STE 1800
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10006-1652
Practice Address - Country:US
Practice Address - Phone:646-799-0924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-27
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty