Provider Demographics
NPI:1245364769
Name:TURNING POINT OF THE FINGER LAKES, LLC
Entity type:Organization
Organization Name:TURNING POINT OF THE FINGER LAKES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:S
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-734-2067
Mailing Address - Street 1:445 E WATER ST
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14901-3410
Mailing Address - Country:US
Mailing Address - Phone:607-734-2067
Mailing Address - Fax:607-732-1349
Practice Address - Street 1:445 E WATER ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14901-3410
Practice Address - Country:US
Practice Address - Phone:607-734-2067
Practice Address - Fax:607-732-1349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY201319261QA1903X
NY185751-1261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01266788Medicaid
NY0613441Medicaid
NY0613441Medicaid
NYG04038Medicare UPIN