Provider Demographics
NPI:1841390671
Name:TURK, ERIC M (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:M
Last Name:TURK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1513 VOORHIES AVE
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3994
Mailing Address - Country:US
Mailing Address - Phone:718-332-5617
Mailing Address - Fax:718-332-0448
Practice Address - Street 1:1513 VOORHIES AVE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3994
Practice Address - Country:US
Practice Address - Phone:718-332-5617
Practice Address - Fax:718-332-0448
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010291111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC10291-5WOtherWORKERS COMP
NYX7E751Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER