Individual
DR. IVETTE BERNADETTE TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
460 GIDNEY AVE, NEWBURGH, NY 12550-3117
(845) 565-2810
(845) 565-2879
Mailing address
460 GIDNEY AVE, NEWBURGH, NY 12550-3117
(845) 565-2810
(845) 565-2879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
139409
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00800248
—
NY
Enumeration date
06/13/2005
Last updated
10/08/2009
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