Provider Demographics
NPI:1720106180
Name:TURLEY, JOSEPH MICHAEL (NBC HIS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:TURLEY
Suffix:
Gender:M
Credentials:NBC HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 NEW SCOTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3123
Mailing Address - Country:US
Mailing Address - Phone:518-489-0462
Mailing Address - Fax:518-489-0463
Practice Address - Street 1:267 NEW SCOTLAND AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3123
Practice Address - Country:US
Practice Address - Phone:518-489-0462
Practice Address - Fax:518-489-0463
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000008952237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
10099896OtherCAPITAL DISTRICT PHYSICIA
000400525002OtherBLUE SHIELD OF NORTHEASTE