Individual
MS. SHANNYN KATHLEEN TORBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 GULL AVE, MEDFORD, NY 11763-1731
(631) 708-8590
Mailing address
3110 GULL AVE, MEDFORD, NY 11763-1731
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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