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General NPI Number Information
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NPI Number | 1306123716
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Entity Type | Organization
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Legal Business Name | METIN KOLUKSUZ, M.D.P.C.
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Dates
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Enumeration Date | 11/14/2011
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Last Update Date | 11/14/2011
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Provider Practice Location Address
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Address Line | 600 MCCLELLAN ST
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City | SCHENECTADY
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State | NY
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Zip | 12304-1009
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Country | US
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Telephone | 518-347-5442
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Fax |
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Provider Business Mailing Address
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Address Line | 1519 MCCLELLAN ST
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City | SCHENECTADY
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State | NY
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Zip | 12309-5126
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Country | US
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Telephone | 518-370-2258
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. METIN KOLUKSUZ
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Credential | M.D.
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Telephone | 518-370-2258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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