Healthcare Provider Details

I. General information

NPI: 1306123716
Provider Name (Legal Business Name): METIN KOLUKSUZ, M.D.P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2011
Last Update Date: 11/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MCCLELLAN ST
SCHENECTADY NY
12304-1009
US

IV. Provider business mailing address

1519 MCCLELLAN ST
SCHENECTADY NY
12309-5126
US

V. Phone/Fax

Practice location:
  • Phone: 518-347-5442
  • Fax:
Mailing address:
  • Phone: 518-370-2258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. METIN KOLUKSUZ
Title or Position: DOCTOR
Credential: M.D.
Phone: 518-370-2258