Healthcare Provider Details

I. General information

NPI: 1437653680
Provider Name (Legal Business Name): LIZBETH MARIE TORRES DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2018
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1591 NY-22 BLDG 2
BREWSTER NY
10509
US

IV. Provider business mailing address

184 MEETINGHOUSE RDG
MERIDEN CT
06450-7229
US

V. Phone/Fax

Practice location:
  • Phone: 845-439-2904
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number12216
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number061147
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: