Provider Demographics
NPI:1386351260
Name:DAVID A TURNER MEDICAL PC
Entity type:Organization
Organization Name:DAVID A TURNER MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:PNINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-500-4888
Mailing Address - Street 1:366 PEARSALL AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1801
Mailing Address - Country:US
Mailing Address - Phone:718-500-4888
Mailing Address - Fax:718-719-1430
Practice Address - Street 1:1166 RIVER AVE STE 105
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5600
Practice Address - Country:US
Practice Address - Phone:718-500-4888
Practice Address - Fax:718-719-1430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care