Healthcare Provider Details

I. General information

NPI: 1922912781
Provider Name (Legal Business Name): GABRIELA ELIZABETH TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 BRIGHTSIDE AVE
CENTRAL ISLIP NY
11722-2929
US

IV. Provider business mailing address

21 BRIGHTSIDE AVE
CENTRAL ISLIP NY
11722-2929
US

V. Phone/Fax

Practice location:
  • Phone: 631-708-4210
  • Fax:
Mailing address:
  • Phone: 631-708-4210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: