Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 31007R | PR |
N | 111NI0900X | Internist | 31007R | PR |
Y | 207RN0300X | Nephrologist | 63855 | NY |
NPI | 1003207978 |
---|---|
Provider Name | Emmanuelle Cordero Torres |
First Address | Albany, NY 12208 |
Second Address | Albany, NY 12208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2015 |
Last Update Date | 29/03/2017 |