Healthcare Provider Details

I. General information

NPI: 1306773114
Provider Name (Legal Business Name): KRISTEN TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 FRANCIS LEWIS BLVD
BAYSIDE NY
11361-2573
US

IV. Provider business mailing address

6525 160TH ST APT 9B
FRESH MEADOWS NY
11365-2538
US

V. Phone/Fax

Practice location:
  • Phone: 718-460-3100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: