Healthcare Provider Details

I. General information

NPI: 1568039774
Provider Name (Legal Business Name): TORELI CARDIOLOGY AND MEDICAL ASSOCIATES OF BROOKLYN, P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2021
Last Update Date: 09/12/2021
Certification Date: 09/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 AVENUE Y
BROOKLYN NY
11235-6127
US

IV. Provider business mailing address

716 AVENUE Y
BROOKLYN NY
11235-6127
US

V. Phone/Fax

Practice location:
  • Phone: 347-244-6608
  • Fax:
Mailing address:
  • Phone: 347-244-6608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEKSANDRE TORELI
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 347-244-6608