Healthcare Provider Details

I. General information

NPI: 1871280313
Provider Name (Legal Business Name): H TURNPIKE MEDICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 EMERSON AVE
LEVITTOWN NY
11756-5705
US

IV. Provider business mailing address

11 EMERSON AVE
LEVITTOWN NY
11756-5705
US

V. Phone/Fax

Practice location:
  • Phone: 516-586-6063
  • Fax:
Mailing address:
  • Phone: 516-586-6063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK SCHWARTZ
Title or Position: OWNER
Credential:
Phone: 516-755-5855