Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 267519 | MA |
N | 111NI0900X | Internist | 267519 | MA |
N | 207R00000X | Internist | 298054 | NY |
N | 111NI0900X | Internist | 298054 | NY |
Y | 207RA0401X | Internist - Addiction Medicine | 298054 | NY |
NPI | 1023467115 |
---|---|
Provider Name | Dr. Kristine Torres-Lockhart |
First Address | Bronx, NY 10467-2401 |
Second Address | Bronx, NY 10467-2401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2016 |
Last Update Date | 19/03/2021 |