MEDICARE: HULYA LEVENDOGLU M.D.,

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	207RG0100X	Gastroenterology Physician	142842	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417995879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HULYA LEVENDOGLU M.D.,

Provider Business Mailing Address
First Line	:	546 EASTERN PARKWAY
Second Line	:	EMPIRE CENTER GASTRO UNIT
City	:	BROOKLYN
State	:	NY
Zip	:	11225
Country	:	US
Telephone Number	:	718-604-6831
Fax Number	:	718-604-6822

Provider Business Practice Location Address
First Line	:	546 EASTERN PKWY
Second Line	:	GASTRO UNIT
City	:	BROOKLYN
State	:	NY
Zip	:	11225-1604
Country	:	US
Telephone Number	:	718-604-6831
Fax Number	:	718-604-6822

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

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	07/18/2008

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