Healthcare Provider Details

I. General information

NPI: 1245205798
Provider Name (Legal Business Name): LINDA TERESA DI TORO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2955 VETERANS RD W STE 2C
STATEN ISLAND NY
10309-2504
US

IV. Provider business mailing address

2955 VETERANS RD W STE 2C
STATEN ISLAND NY
10309-2504
US

V. Phone/Fax

Practice location:
  • Phone: 718-356-6000
  • Fax: 718-356-6267
Mailing address:
  • Phone: 718-356-6000
  • Fax: 718-356-6267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number182588
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: