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Individual
JONATHAN TORRES
Active
Individual
JONATHAN TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020635
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020635
LICENSE
NY
Enumeration date
02/14/2017
Last updated
09/06/2024
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