Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 299619 | NY |
NPI | 1568800324 |
---|---|
Provider Name | Cloty Victoria Toro |
First Address | Staten Island, NY 10310-1648 |
Second Address | Staten Island, NY 10301-2718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2013 |
Last Update Date | 10/01/2020 |