Basic Information
Provider Information
NPI: 1265791800
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BILGEN
FirstName: OZLEM
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 180 E SUFFOLK AVE
Address2:  
City: CENTRAL ISLIP
State: NY
PostalCode: 117222536
CountryCode: US
TelephoneNumber: 6317086804
FaxNumber:  
Practice Location
Address1: 525 E MARKET ST
Address2:  
City: AKRON
State: OH
PostalCode: 443041619
CountryCode: US
TelephoneNumber: 3303753107
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/15/2012
LastUpdateDate: 10/28/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X4301109420MIN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X25MA10730500NJN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X290074NYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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