Provider Demographics
NPI:1730168246
Name:KADAYIFCI, SINAN (MD)
Entity type:Individual
Prefix:DR
First Name:SINAN
Middle Name:
Last Name:KADAYIFCI
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1644 DEER PARK AVE
Mailing Address - Street 2:SUITE LOWER LEVEL NORTH
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-5211
Mailing Address - Country:US
Mailing Address - Phone:631-392-1290
Mailing Address - Fax:631-392-1291
Practice Address - Street 1:1644 DEER PARK AVE
Practice Address - Street 2:SUITE LOWER LEVEL NORTH
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-5211
Practice Address - Country:US
Practice Address - Phone:631-392-1290
Practice Address - Fax:631-392-1291
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY241033207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02691298Medicaid
NY652Q01Medicare ID - Type Unspecified
NYI14083Medicare UPIN