Healthcare Provider Details

I. General information

NPI: 1164303798
Provider Name (Legal Business Name): IPEK ENSARI PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 E 101ST ST RM 1009
NEW YORK NY
10029-6528
US

IV. Provider business mailing address

225 E 34TH ST APT 9G
NEW YORK NY
10016-0241
US

V. Phone/Fax

Practice location:
  • Phone: 631-565-1829
  • Fax:
Mailing address:
  • Phone: 631-565-1829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: