Individual
MR. JOSE MANUEL TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 E 102ND ST, NEW YORK, NY 10029-5204
(212) 659-8551
Mailing address
236 E 112TH ST APT 52, NEW YORK, NY 10029-2973
(347) 595-1873
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XG04882N
—
NY
Enumeration date
06/22/2021
Last updated
06/22/2021
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