Provider Demographics
NPI:1093924292
Name:TURNDORF, MARGARET ANNE JAMIE (PHD LCSWR)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE JAMIE
Last Name:TURNDORF
Suffix:
Gender:F
Credentials:PHD LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 475
Mailing Address - Street 2:
Mailing Address - City:MILLBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:12545-0475
Mailing Address - Country:US
Mailing Address - Phone:845-677-3450
Mailing Address - Fax:845-677-1213
Practice Address - Street 1:623 KILLEARN RD
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:NY
Practice Address - Zip Code:12545-6231
Practice Address - Country:US
Practice Address - Phone:845-677-3450
Practice Address - Fax:845-677-1213
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0307311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN9L991Medicare ID - Type Unspecified