Healthcare Provider Details

I. General information

NPI: 1417017989
Provider Name (Legal Business Name): AYSE F. GENC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 HOSPITAL PLZ
STAMFORD CT
06902-3602
US

IV. Provider business mailing address

4 HOSPITAL PLZ
STAMFORD CT
06902-3602
US

V. Phone/Fax

Practice location:
  • Phone: 203-348-2614
  • Fax: 203-325-8677
Mailing address:
  • Phone: 203-348-2614
  • Fax: 203-325-8677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number050882
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number61886
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number050882
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: