Provider Demographics
NPI:1568721462
Name:TURCER, JODY CORONA
Entity Type:Individual
Prefix:
First Name:JODY
Middle Name:CORONA
Last Name:TURCER
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 1:3686 DODGESON RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER
Mailing Address - State:NY
Mailing Address - Zip Code:14005-9791
Mailing Address - Country:US
Mailing Address - Phone:585-734-5428
Mailing Address - Fax:
Practice Address - Street 1:3686 DODGESON RD
Practice Address - Street 2:
Practice Address - City:ALEXANDER
Practice Address - State:NY
Practice Address - Zip Code:14005-9791
Practice Address - Country:US
Practice Address - Phone:585-734-5428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist