Individual
DR. BAKIR ALTAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
348 13TH ST, BROOKLYN, NY 11215-6177
(212) 444-2209
Mailing address
320 7TH AVE, PMB # 202, BROOKLYN, NY 11215-4194
(212) 444-2209
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
1737871
NY
2086S0129X
Vascular Surgery Physician
Primary
25MA05389100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2318407
—
NJ
01
—
621816
PTAN
NJ
Enumeration date
10/04/2006
Last updated
09/06/2011
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