Provider Demographics
NPI:1811043227
Name:TURNER, EVA (DC)
Entity Type:Individual
Prefix:DR
First Name:EVA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 E 704TH ST
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10962-2827
Mailing Address - Country:US
Mailing Address - Phone:845-359-5599
Mailing Address - Fax:
Practice Address - Street 1:10 E 704TH ST
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-2827
Practice Address - Country:US
Practice Address - Phone:845-359-5599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007051-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC07051-8OtherWORKERS COMPENSATION
NYU31345Medicare UPIN
NYX49681Medicare ID - Type Unspecified