Provider Demographics
NPI:1972361772
Name:TUROVETS, NIKITA (LAC)
Entity type:Individual
Prefix:
First Name:NIKITA
Middle Name:
Last Name:TUROVETS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 A AVE A
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044
Mailing Address - Country:US
Mailing Address - Phone:347-319-5113
Mailing Address - Fax:718-833-3664
Practice Address - Street 1:442 A AVE A
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044
Practice Address - Country:US
Practice Address - Phone:267-808-0995
Practice Address - Fax:718-833-3664
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-07
Last Update Date:2025-02-10
Deactivation Date:2024-03-23
Deactivation Code:
Reactivation Date:2024-12-10
Provider Licenses
StateLicense IDTaxonomies
NY006227171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist