Individual
LISA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
244 BUEL AVE, STATEN ISLAND, NY 10305-1204
(718) 351-9389
Mailing address
63 ASHTON DR, STATEN ISLAND, NY 10312-1605
(718) 689-2562
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
324960
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2020
Last updated
07/19/2023
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