Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 73042 | MA |
Y | 2080P0204X | Pediatric Emergency Doctor | 73042 | MA |
NPI | 1063456655 |
---|---|
Provider Name | Dr. Susan B Torrey |
First Address | New York, NY 10016-9196 |
Second Address | New York, NY 10016-9196 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 14/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3091640 | (05) | MA |
F27481 | (02) |