Basic Information
Provider Information
NPI: 1427443795
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EKIZ
FirstName: AYFER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 707 E MAIN ST
Address2:  
City: MIDDLETOWN
State: NY
PostalCode: 109402650
CountryCode: US
TelephoneNumber: 8453333370
FaxNumber: 8453333372
Practice Location
Address1: 707 E MAIN ST
Address2:  
City: MIDDLETOWN
State: NY
PostalCode: 109402650
CountryCode: US
TelephoneNumber: 8453333370
FaxNumber: 8453333372
Other Information
ProviderEnumerationDate: 04/02/2015
LastUpdateDate: 07/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X292190NYY Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X292190NYN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home