Healthcare Provider Details

I. General information

NPI: 1528636370
Provider Name (Legal Business Name): EMILY TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 07/17/2023
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1565 LONG POND RD
ROCHESTER NY
14626-4122
US

IV. Provider business mailing address

1565 LONG POND RD
ROCHESTER NY
14626-4122
US

V. Phone/Fax

Practice location:
  • Phone: 585-922-9900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number790395
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number310287
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number310287
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: