Individual
MR. DAROLD ROBERT TUROCK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
288 POTOMAC AVE, BUFFALO, NY 14213-1259
(716) 883-1950
Mailing address
288 POTOMAC AVE, BUFFALO, NY 14213-1259
(716) 883-1950
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
099726-1
NY
164W00000X
Licensed Practical Nurse
PN086707
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02770354
—
NY
05
—
2157240
—
OH
Enumeration date
03/21/2007
Last updated
07/09/2007
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