MEDICARE: WILLIAM TURSI, M.D., PLLC

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	207R00000X	Internal Medicine Physician	139729	NY

General Provider Information

NPI Number	:	1356513204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM TURSI, M.D., PLLC

Provider Business Mailing Address
First Line	:	741 JEWETT AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-2809
Country	:	US
Telephone Number	:	718-420-0528
Fax Number	:	718-816-8475

Provider Business Practice Location Address
First Line	:	741 JEWETT AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-2809
Country	:	US
Telephone Number	:	718-420-0528
Fax Number	:	718-816-8475

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. WILLIAM TURSI
Credential	:	M.D.
Telephone Number	:	718-420-0528

Provider Enumeration Date	:	04/01/2008
Last Update Date	:	04/21/2011

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