MEDICARE: MARGARET S TURNER CDE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WD0400X	Diabetes Educator Registered Nurse	500484	NY

General Provider Information

NPI Number	:	1265756720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET S TURNER CDE

Provider Business Mailing Address
First Line	:	17 MAIN ST
Second Line	:	SUITE 302
City	:	CORTLAND
State	:	NY
Zip	:	13045-6606
Country	:	US
Telephone Number	:	607-753-3797
Fax Number	:	607-753-6677

Provider Business Practice Location Address
First Line	:	2805 CINCINNATUS ROAD
Second Line	:
City	:	CINCINNATUS
State	:	NY
Zip	:	13040
Country	:	US
Telephone Number	:	607-863-4126
Fax Number	:	607-863-3455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2010
Last Update Date	:	03/26/2010

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