Individual
CRESENCIO DAVID TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
500 WESTCHESTER AVE, WEST HARRISON, NY 10604-3200
(914) 367-7267
Mailing address
500 WESTCHESTER AVE, WEST HARRISON, NY 10604-3200
(929) 339-4337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010651
NY
363AM0700X
Medical Physician Assistant
010651
NY
363AS0400X
Surgical Physician Assistant
010651
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010651
NYS MEDICAL LISCENCE
NY
05
—
1902946189
—
NY
Enumeration date
02/07/2007
Last updated
03/22/2019
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