Healthcare Provider Details

I. General information

NPI: 1992225114
Provider Name (Legal Business Name): ARMEL DOGRULUK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARMEL GIFFORD

II. Dates (important events)

Enumeration Date: 06/20/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 WHITE PLAINS RD
BRONX NY
10472
US

IV. Provider business mailing address

475 MAIN ST APT 8L
NEW YORK NY
10044-0090
US

V. Phone/Fax

Practice location:
  • Phone: 718-828-6610
  • Fax: 718-829-9132
Mailing address:
  • Phone: 917-557-6341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number718638
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number342649
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: