MEDICARE: HAKAN ATTAROGLU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	205410	NY

General Provider Information

NPI Number	:	1174517213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAKAN ATTAROGLU MD

Provider Business Mailing Address
First Line	:	PO BOX 2005
Second Line	:
City	:	EAST SYRACUSE
State	:	NY
Zip	:	13057-4505
Country	:	US
Telephone Number	:	315-449-0513
Fax Number	:	315-445-2936

Provider Business Practice Location Address
First Line	:	2210 TROY RD
Second Line	:
City	:	NISKAYUNA
State	:	NY
Zip	:	12309-4725
Country	:	US
Telephone Number	:	518-346-9566
Fax Number	:	518-346-9565

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	07/08/2007

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