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Individual

DR. BRETT G TORESDAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 774-2216
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(631) 329-6925
(631) 329-6951

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
275396
NY
207Q00000X
Family Medicine Physician
MD60295986
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
13453498-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03941462
NY
Enumeration date
03/30/2010
Last updated
01/22/2024
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