Provider Demographics
NPI:1619235900
Name:TURCHINSKY, ALEX EFIM (RN)
Entity Type:Individual
Prefix:MR
First Name:ALEX
Middle Name:EFIM
Last Name:TURCHINSKY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6313 ISLAND PINE WAY
Mailing Address - Street 2:NONE
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1219
Mailing Address - Country:US
Mailing Address - Phone:408-506-1252
Mailing Address - Fax:
Practice Address - Street 1:6313 ISLAND PINE WAY
Practice Address - Street 2:NONE
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1219
Practice Address - Country:US
Practice Address - Phone:408-506-1252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-25
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA788890251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health