Healthcare Provider Details

I. General information

NPI: 1154749281
Provider Name (Legal Business Name): JENNA MICHELE TUROCY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2014
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 COLUMBUS CIR PH
NEW YORK NY
10019-1412
US

IV. Provider business mailing address

21 W END AVE APT 4501
NEW YORK NY
10023-8198
US

V. Phone/Fax

Practice location:
  • Phone: 646-756-8282
  • Fax:
Mailing address:
  • Phone: 978-551-6253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number264737
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number292766
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: