Healthcare Provider Details

I. General information

NPI: 1528718236
Provider Name (Legal Business Name): SERIFE ELIF UZUN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 DUBOIS ST
NEWBURGH NY
12550-4851
US

IV. Provider business mailing address

70 DUBOIS ST
NEWBURGH NY
12550-4851
US

V. Phone/Fax

Practice location:
  • Phone: 845-568-2305
  • Fax:
Mailing address:
  • Phone: 845-568-2305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number205MB12585000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number343139
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: