Provider Demographics
NPI:1992225114
Name:DOGRULUK, ARMEL (RN)
Entity type:Individual
Prefix:
First Name:ARMEL
Middle Name:
Last Name:DOGRULUK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ARMEL
Other - Middle Name:
Other - Last Name:GIFFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:475 MAIN ST APT 8L
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10044-0090
Mailing Address - Country:US
Mailing Address - Phone:917-557-6341
Mailing Address - Fax:
Practice Address - Street 1:1211 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472
Practice Address - Country:US
Practice Address - Phone:718-828-6610
Practice Address - Fax:718-829-9132
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY718638163W00000X
NY342649363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse