Healthcare Provider Details

I. General information

NPI: 1588527972
Provider Name (Legal Business Name): MUSTAFA TURKIMANI PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 BROADWAY
SCHENECTADY NY
12305-2520
US

IV. Provider business mailing address

280 W 24TH ST APT 8S
NEW YORK NY
10011-1877
US

V. Phone/Fax

Practice location:
  • Phone: 518-374-7222
  • Fax:
Mailing address:
  • Phone: 917-753-7048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: