Healthcare Provider Details

I. General information

NPI: 1184619405
Provider Name (Legal Business Name): CARMEN TORRADO-JULE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

584 FOREST AVE
STATEN ISLAND NY
10310-2512
US

IV. Provider business mailing address

584 FOREST AVE
STATEN ISLAND NY
10310-2512
US

V. Phone/Fax

Practice location:
  • Phone: 718-226-5613
  • Fax:
Mailing address:
  • Phone: 718-226-5613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number184543
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: