Individual
MARIANNA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
999 FRANKLIN AVE, GARDEN CITY, NY 11530-2913
(516) 504-3014
Mailing address
999 FRANKLIN AVE, GARDEN CITY, NY 11530-2913
(516) 504-3014
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011567
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011567
PA LICENSE
NY
01
—
1043491590
NPI
NY
Enumeration date
11/26/2007
Last updated
06/11/2019
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