Healthcare Provider Details

I. General information

NPI: 1841129905
Provider Name (Legal Business Name): EDA OZKARA SAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1526 LINCOLN PL APT 1L
BROOKLYN NY
11213-5899
US

IV. Provider business mailing address

1526 LINCOLN PL APT 1L
BROOKLYN NY
11213-5899
US

V. Phone/Fax

Practice location:
  • Phone: 917-627-6595
  • Fax:
Mailing address:
  • Phone: 917-627-6595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1400X
TaxonomyCollege Health Registered Nurse
License Number677274
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: