Healthcare Provider Details

I. General information

NPI: 1669455085
Provider Name (Legal Business Name): YUSUF YAZICI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 E 38TH ST NYU CENTER FOR MUSCULOSKELETAL CARE
NEW YORK NY
10016-2772
US

IV. Provider business mailing address

333 E 38TH ST NYU CENTER FOR MUSCULOSKELETAL CARE
NEW YORK NY
10016-2772
US

V. Phone/Fax

Practice location:
  • Phone: 646-501-7400
  • Fax: 646-501-7228
Mailing address:
  • Phone: 646-501-7400
  • Fax: 646-501-7228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number207943
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: