Healthcare Provider Details

I. General information

NPI: 1255252458
Provider Name (Legal Business Name): KRISTA NICOLE TORTORA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2495 NEWBRIDGE RD
BELLMORE NY
11710-2231
US

IV. Provider business mailing address

790 TAFT ST
NORTH BELLMORE NY
11710-1220
US

V. Phone/Fax

Practice location:
  • Phone: 516-771-9797
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number312908
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: