Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 201478 | NY |
NPI | 1093777609 |
---|---|
Provider Name | Dr. Marino Torres |
First Address | New York, NY 10032-1131 |
Second Address | New York, NY 10032-1131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 18/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01601761 | (05) | NY |
G37452 | (02) | NY |