MEDICARE: MR. ADAM JOSEPH TORRES PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	025253	NY

General Provider Information

NPI Number	:	1003411406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ADAM JOSEPH TORRES PA-C

Provider Business Mailing Address
First Line	:	1441 SOUTH AVE STE 701
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3784
Country	:	US
Telephone Number	:	718-226-6461
Fax Number	:	718-494-7016

Provider Business Practice Location Address
First Line	:	900 SOUTH AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3418
Country	:	US
Telephone Number	:	718-226-6461
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2020
Last Update Date	:	07/15/2025

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