Healthcare Provider Details

I. General information

NPI: 1316586209
Provider Name (Legal Business Name): TURBO TOTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2019
Last Update Date: 12/26/2019
Certification Date: 12/26/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 RESERVOIR RD
STAATSBURG NY
12580-5317
US

IV. Provider business mailing address

26 RESERVOIR RD
STAATSBURG NY
12580-5317
US

V. Phone/Fax

Practice location:
  • Phone: 845-392-0253
  • Fax: 845-684-0200
Mailing address:
  • Phone: 845-392-0253
  • Fax: 845-684-0200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH ANN HARNETT
Title or Position: PRESIDENT
Credential: MS,OTR/L
Phone: 845-392-0253