Healthcare Provider Details

I. General information

NPI: 1841390671
Provider Name (Legal Business Name): ERIC M TURK DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1513 VOORHIES AVE LOWER LEVEL
BROOKLYN NY
11235-3994
US

IV. Provider business mailing address

1513 VOORHIES AVE LOWER LEVEL
BROOKLYN NY
11235-3994
US

V. Phone/Fax

Practice location:
  • Phone: 718-332-5617
  • Fax: 718-332-0448
Mailing address:
  • Phone: 718-332-5617
  • Fax: 718-332-0448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number010291
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: