Healthcare Provider Details

I. General information

NPI: 1356098081
Provider Name (Legal Business Name): JENNIFER LYNN TORRE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2022
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 E 70TH ST # 607
NEW YORK NY
10021-9800
US

IV. Provider business mailing address

226 E 74TH ST APT 4D
NEW YORK NY
10021-3628
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-2271
  • Fax:
Mailing address:
  • Phone: 973-820-1629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ01280100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number808916
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: