Healthcare Provider Details

I. General information

NPI: 1932721941
Provider Name (Legal Business Name): HAMIYET IPEK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HAMIYET IPEK TOZ MD

II. Dates (important events)

Enumeration Date: 05/13/2020
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 HOSPITAL RD
PATCHOGUE NY
11772-4870
US

IV. Provider business mailing address

101 HOSPITAL RD
PATCHOGUE NY
11772-4870
US

V. Phone/Fax

Practice location:
  • Phone: 631-654-7283
  • Fax: 631-447-3715
Mailing address:
  • Phone: 631-654-7283
  • Fax: 631-447-3715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number328036
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: