Individual
TIERNEY LEE DELA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
225 E 57TH ST APT 14A, NEW YORK, NY 10022-2873
(734) 672-5378
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704292492
MI
Other
Enumeration date
01/16/2018
Last updated
04/16/2022
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