Healthcare Provider Details

I. General information

NPI: 1821218215
Provider Name (Legal Business Name): MUSTAFA SEKER D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 PARK AVE
NEW YORK NY
10022-4401
US

IV. Provider business mailing address

417 PARK AVE
NEW YORK NY
10022-4401
US

V. Phone/Fax

Practice location:
  • Phone: 212-688-2466
  • Fax: 212-688-8188
Mailing address:
  • Phone: 212-688-2466
  • Fax: 212-688-8188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number037931
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: