Individual
DR. ALTAN OMER YENICAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8350
(201) 447-8390
Mailing address
230 W 55TH ST, APARTMENT 14D, NEW YORK, NY 10019-5220
(212) 957-0648
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA07425800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8856001
—
NJ
Enumeration date
03/17/2006
Last updated
07/08/2007
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