Individual
MR. RICHARD LAWRENCE TORBECK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 LOWELL AVE, NEW HYDE PARK, NY 11040-2810
(516) 326-4160
Mailing address
325 W 15TH ST, NEW YORK, NY 10011-5903
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
291490
NY
207NS0135X
Procedural Dermatology Physician
291490
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
291-490
STATE MEDICAL LICENSE
NY
Enumeration date
04/15/2013
Last updated
10/09/2020
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