Provider Demographics
NPI:1326822255
Name:TURELLI, SERGIO PIETRO
Entity Type:Individual
Prefix:
First Name:SERGIO
Middle Name:PIETRO
Last Name:TURELLI
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 1:301 77TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-5615
Mailing Address - Country:US
Mailing Address - Phone:201-889-7148
Mailing Address - Fax:
Practice Address - Street 1:10 E 33RD ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5081
Practice Address - Country:US
Practice Address - Phone:646-487-2495
Practice Address - Fax:646-487-2061
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051086225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist