Healthcare Provider Details

I. General information

NPI: 1245632934
Provider Name (Legal Business Name): AUBREY TURNER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2014
Last Update Date: 09/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 W ONONDAGA ST
SYRACUSE NY
13202-3207
US

IV. Provider business mailing address

321 W ONONDAGA ST
SYRACUSE NY
13202-3207
US

V. Phone/Fax

Practice location:
  • Phone: 315-478-0610
  • Fax: 315-295-2031
Mailing address:
  • Phone: 315-478-0610
  • Fax: 315-295-2031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number093157
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: