Healthcare Provider Details

I. General information

NPI: 1508060880
Provider Name (Legal Business Name): YUSUF M DINCER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 S MANNING BLVD SUITE 202
ALBANY NY
12208-1742
US

IV. Provider business mailing address

319 S MANNING BLVD SUITE 202
ALBANY NY
12208-1742
US

V. Phone/Fax

Practice location:
  • Phone: 518-435-0842
  • Fax: 518-459-6196
Mailing address:
  • Phone: 518-435-0842
  • Fax: 518-459-6196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number200366
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: