Provider Demographics
NPI:1003949033
Name:TURKEL, GARY C
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:C
Last Name:TURKEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 LAFAYETTE AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4821
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:233 LAFAYETTE AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4821
Practice Address - Country:US
Practice Address - Phone:845-357-5560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY277961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice