Provider Demographics
NPI:1760065155
Name:TURAYEV, OLEG (DR)
Entity Type:Individual
Prefix:
First Name:OLEG
Middle Name:
Last Name:TURAYEV
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 MAPLE AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-5545
Mailing Address - Country:US
Mailing Address - Phone:234-380-6534
Mailing Address - Fax:
Practice Address - Street 1:455 MAPLE AVE APT 2
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-5545
Practice Address - Country:US
Practice Address - Phone:234-380-6534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0005468103T00000X
NY023486103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist