MEDICARE: AYSE NAZLIM HAGMANN 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	2084P0800X	Psychiatry Physician	002509	NY

General Provider Information

NPI Number	:	1538128806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYSE NAZLIM HAGMANN M.D.

Provider Business Mailing Address
First Line	:	594 BROADWAY
Second Line	:	SUITE 907
City	:	NEW YORK
State	:	NY
Zip	:	10012-3233
Country	:	US
Telephone Number	:	347-463-0252
Fax Number	:

Provider Business Practice Location Address
First Line	:	594 BROADWAY
Second Line	:	SUITE 907
City	:	NEW YORK
State	:	NY
Zip	:	10012-3233
Country	:	US
Telephone Number	:	347-463-0252
Fax Number	:

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	12/30/2016

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