Healthcare Provider Details

I. General information

NPI: 1598081127
Provider Name (Legal Business Name): LORRAINE M TORTORA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2010
Last Update Date: 04/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 OCEAN PKWY
BROOKLYN NY
11235-7745
US

IV. Provider business mailing address

812 AVENUE X
BROOKLYN NY
11235-6152
US

V. Phone/Fax

Practice location:
  • Phone: 718-616-4080
  • Fax:
Mailing address:
  • Phone: 718-648-4321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number046381
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS31110
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28R102440000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: