Provider Demographics
NPI:1265527220
Name:TURK, JED LAWRENCE (MD)
Entity type:Individual
Prefix:
First Name:JED
Middle Name:LAWRENCE
Last Name:TURK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX E
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-0750
Mailing Address - Country:US
Mailing Address - Phone:845-896-9864
Mailing Address - Fax:845-896-4319
Practice Address - Street 1:1089 MAIN STREET
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-0750
Practice Address - Country:US
Practice Address - Phone:845-896-9864
Practice Address - Fax:845-896-4319
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187441207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1030552-011OtherCIGNA
NY2357755OtherAETNA-HMO
NYODO1738OtherHEALTHNET
NY4518663OtherAETNA
NYDUP002OtherOXFORD
NY66H941OtherBLUE CROSS
NY10058271OtherCDPHP
NY167111OtherMOHAWK VALLEY PLAN
NY74476OtherGHI HMO
NY0162823OtherGHI PPO
NY4518663OtherAETNA