Individual
MRS. JILLIAN M TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1535 RICHMOND AVE, STATEN ISLAND, NY 10314-1520
(718) 556-1516
(718) 442-9962
Mailing address
1535 RICHMOND AVE, STATEN ISLAND, NY 10314-1520
(718) 556-1516
(718) 442-9962
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
830446
NY
Other
Enumeration date
06/22/2012
Last updated
10/16/2012
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