Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 1993051 | NY |
NPI | 1114088085 |
---|---|
Provider Name | Dr. Drew Tortoriello |
First Address | Las Vegas, NV 89118-1840 |
Second Address | New York, NY 10019-1412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 14/04/2008 |