Healthcare Provider Details

I. General information

NPI: 1295718799
Provider Name (Legal Business Name): OZGUL MUNEYYIRCI-DELALE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 02/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 CLARKSON AVE SUITE G
BROOKLYN NY
11203-2056
US

IV. Provider business mailing address

450 CLARKSON AVE # 59
BROOKLYN NY
11203-2012
US

V. Phone/Fax

Practice location:
  • Phone: 718-363-2908
  • Fax: 718-270-4122
Mailing address:
  • Phone: 718-270-8880
  • Fax: 718-270-1794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number140662-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number140662
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: