Provider Demographics
NPI:1306000682
Name:TURETSKY, ANDREW JON (LMSW)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:JON
Last Name:TURETSKY
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 BEECH ST
Mailing Address - Street 2:HOUSE #21
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11509-1600
Mailing Address - Country:US
Mailing Address - Phone:516-889-8512
Mailing Address - Fax:
Practice Address - Street 1:1233 BEECH ST
Practice Address - Street 2:HOUSE #21
Practice Address - City:ATLANTIC BEACH
Practice Address - State:NY
Practice Address - Zip Code:11509-1600
Practice Address - Country:US
Practice Address - Phone:516-889-8512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067339-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical