Healthcare Provider Details

I. General information

NPI: 1174517213
Provider Name (Legal Business Name): HAKAN ATTAROGLU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 TROY RD
NISKAYUNA NY
12309-4725
US

IV. Provider business mailing address

PO BOX 2005
EAST SYRACUSE NY
13057-4505
US

V. Phone/Fax

Practice location:
  • Phone: 518-346-9566
  • Fax: 518-346-9565
Mailing address:
  • Phone: 315-449-0513
  • Fax: 315-445-2936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number205410
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: