1386758720 NPI number — DR. STEVEN FEHIM UYANIK DDS

Table of content: DR. STEVEN FEHIM UYANIK DDS (NPI 1386758720)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386758720 NPI number — DR. STEVEN FEHIM UYANIK DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
UYANIK
Provider First Name:
STEVEN
Provider Middle Name:
FEHIM
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
UYANIK
Provider Other First Name:
FEHIM
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DDS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1386758720
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/12/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25310 WEST END DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LITTLE NECK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11362
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-631-5006
Provider Business Mailing Address Fax Number:
718-631-5006

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
25310 WEST END DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LITTLE NECK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11362
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-631-5006
Provider Business Practice Location Address Fax Number:
718-631-5006
Provider Enumeration Date:
08/19/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  034944 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 034944 . This is a "NY STATE LIC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".