Provider Demographics
NPI:1043088057
Name:TUREK, ELIZABETH (NYCPS)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:TUREK
Suffix:
Gender:F
Credentials:NYCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 N GOODMAN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-1186
Mailing Address - Country:US
Mailing Address - Phone:585-325-3145
Mailing Address - Fax:
Practice Address - Street 1:320 N GOODMAN ST STE 202
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1186
Practice Address - Country:US
Practice Address - Phone:585-325-3145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYCPS-4373175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist