Provider Demographics
NPI:1316991037
Name:OSMAN, YASEMIN (MD)
Entity type:Individual
Prefix:MS
First Name:YASEMIN
Middle Name:
Last Name:OSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6040 MARATHON PKWY
Mailing Address - Street 2:
Mailing Address - City:DOUGLASTON
Mailing Address - State:NY
Mailing Address - Zip Code:11362-2041
Mailing Address - Country:US
Mailing Address - Phone:800-750-8616
Mailing Address - Fax:718-281-2055
Practice Address - Street 1:6040 MARATHON PKWY
Practice Address - Street 2:
Practice Address - City:DOUGLASTON
Practice Address - State:NY
Practice Address - Zip Code:11362-2041
Practice Address - Country:US
Practice Address - Phone:800-750-8616
Practice Address - Fax:718-281-2055
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY180267-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist