Organization
WOODHULL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNA TORRE (PHYSICIAN ASSISTANT)
(347) 219-0597
Entity
Organization
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(347) 219-0597
Mailing address
16515 14TH RD, WHITESTONE, NY 11357-2903
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011567
NY
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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