Healthcare Provider Details

I. General information

NPI: 1528404431
Provider Name (Legal Business Name): LORRAINE TOUCHETTE C.P.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2013
Last Update Date: 05/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 1ST AVE
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

422 E 81ST ST APT 2D
NEW YORK NY
10028-5878
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-3200
  • Fax:
Mailing address:
  • Phone: 917-697-9245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberF382375-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: