Healthcare Provider Details

I. General information

NPI: 1578649992
Provider Name (Legal Business Name): LESTER TORRES TONEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 GARARD AVE
BRONX NY
10452
US

IV. Provider business mailing address

19 EDWARD ST
EAST BRUNSWICK NJ
08816-4411
US

V. Phone/Fax

Practice location:
  • Phone: 718-960-2875
  • Fax: 718-960-2877
Mailing address:
  • Phone: 718-960-2875
  • Fax: 718-960-2877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number156507
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: