Individual
MELCHOR TORRES DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 E BURNSIDE AVE, BRONX, NY 10453-4142
(718) 367-9030
(718) 561-6126
Mailing address
103 E BURNSIDE AVE, BRONX, NY 10453-4142
(718) 367-9030
(718) 561-6126
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
211167
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01883238
—
NY
Enumeration date
10/05/2006
Last updated
07/08/2007
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