Provider Demographics
NPI:1265291686
Name:TURAY, ALIE BUNYAMIN (PERMANENT RESIDENT)
Entity type:Individual
Prefix:MR
First Name:ALIE
Middle Name:BUNYAMIN
Last Name:TURAY
Suffix:
Gender:M
Credentials:PERMANENT RESIDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4176 BENNINGTON CREEK LN
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-9085
Mailing Address - Country:US
Mailing Address - Phone:614-962-0169
Mailing Address - Fax:
Practice Address - Street 1:4176 BENNINGTON CREEK LN
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-9085
Practice Address - Country:US
Practice Address - Phone:614-962-0169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00276152374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide