MEDICARE: MUSTAFA S ZIYALAN 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	205290	NY

General Provider Information

NPI Number	:	1770597015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUSTAFA S ZIYALAN M.D.

Provider Business Mailing Address
First Line	:	303 5TH AVE
Second Line	:	SUITE 1103
City	:	NEW YORK
State	:	NY
Zip	:	10016-6601
Country	:	US
Telephone Number	:	212-252-2331
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 5TH AVE
Second Line	:	SUITE 1103
City	:	NEW YORK
State	:	NY
Zip	:	10016-6601
Country	:	US
Telephone Number	:	212-252-2331
Fax Number	:

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

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	01/31/2014

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