Healthcare Provider Details

I. General information

NPI: 1437536992
Provider Name (Legal Business Name): HEATHER ANN TORELLI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2015
Last Update Date: 09/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 W 57TH ST
NEW YORK NY
10019-2121
US

IV. Provider business mailing address

4300 BROADWAY APT 6D
NEW YORK NY
10033-3720
US

V. Phone/Fax

Practice location:
  • Phone: 516-314-1717
  • Fax: 401-652-1335
Mailing address:
  • Phone: 215-704-4211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF339558-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: