Provider Demographics
NPI:1649651290
Name:ERSOY, ULKU ZEYNEP (DDS, DMSC)
Entity type:Individual
Prefix:DR
First Name:ULKU
Middle Name:ZEYNEP
Last Name:ERSOY
Suffix:
Gender:F
Credentials:DDS, DMSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1644 DEER PARK AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-5211
Mailing Address - Country:US
Mailing Address - Phone:917-254-3567
Mailing Address - Fax:
Practice Address - Street 1:1117 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-3106
Practice Address - Country:US
Practice Address - Phone:631-595-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0578361223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics