Healthcare Provider Details

I. General information

NPI: 1508016684
Provider Name (Legal Business Name): JOMOL CYRIAC TURINSKY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOMOL ROSA CYRIAC MD

II. Dates (important events)

Enumeration Date: 09/24/2008
Last Update Date: 09/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 NOTT TER SUITE 100
SCHENECTADY NY
12308-3170
US

IV. Provider business mailing address

11 DEERWOOD CT
ALBANY NY
12208-1151
US

V. Phone/Fax

Practice location:
  • Phone: 518-372-4405
  • Fax:
Mailing address:
  • Phone: 518-253-3805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number0101249455
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number0101249455
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: