Healthcare Provider Details

I. General information

NPI: 1154506392
Provider Name (Legal Business Name): JILL DENISE TORRES CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JILL DENISE MCMILLON CRNA

II. Dates (important events)

Enumeration Date: 01/07/2008
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 E POST RD
WHITE PLAINS NY
10601-4607
US

IV. Provider business mailing address

1330 1ST AVE APT 1231
NEW YORK NY
10021-4797
US

V. Phone/Fax

Practice location:
  • Phone: 914-681-0600
  • Fax:
Mailing address:
  • Phone: 614-352-3414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4726
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number528256
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: