Provider Demographics
NPI:1992587067
Name:TURNBULL, TANYA NADINE
Entity type:Individual
Prefix:MS
First Name:TANYA
Middle Name:NADINE
Last Name:TURNBULL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 LUDLOW ST STE 216
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-1948
Mailing Address - Country:US
Mailing Address - Phone:347-972-2821
Mailing Address - Fax:914-470-0116
Practice Address - Street 1:45 LUDLOW ST STE 216
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-1948
Practice Address - Country:US
Practice Address - Phone:347-972-2821
Practice Address - Fax:914-470-0116
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management