Provider Demographics
NPI:1710127519
Name:GERALD E. TURK ,RN,PSYCHIATRIC NURSE PRACTITIONER PC
Entity Type:Organization
Organization Name:GERALD E. TURK ,RN,PSYCHIATRIC NURSE PRACTITIONER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:TURK
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:585-468-2173
Mailing Address - Street 1:9077 STATE ROUTE 408
Mailing Address - Street 2:
Mailing Address - City:NUNDA
Mailing Address - State:NY
Mailing Address - Zip Code:14517-9728
Mailing Address - Country:US
Mailing Address - Phone:585-468-2173
Mailing Address - Fax:
Practice Address - Street 1:9077 STATE ROUTE 408
Practice Address - Street 2:
Practice Address - City:NUNDA
Practice Address - State:NY
Practice Address - Zip Code:14517-9728
Practice Address - Country:US
Practice Address - Phone:585-468-2173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-06
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400765363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB4839Medicare UPIN