Healthcare Provider Details

I. General information

NPI: 1295649051
Provider Name (Legal Business Name): OZLEM OZDEMIR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4721 FORT HAMILTON PKWY FL 1
BROOKLYN NY
11219-2927
US

IV. Provider business mailing address

5100 15TH AVE APT 3B
BROOKLYN NY
11219-3723
US

V. Phone/Fax

Practice location:
  • Phone: 718-283-5900
  • Fax:
Mailing address:
  • Phone: 201-658-9140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number816382
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: