Healthcare Provider Details

I. General information

NPI: 1114833282
Provider Name (Legal Business Name): MARIA TOROK PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 HARRISON AVE
CINCINNATI OH
45248-2311
US

IV. Provider business mailing address

2753 WILLIAMSBURG BANTAM RD
BETHEL OH
45106-9380
US

V. Phone/Fax

Practice location:
  • Phone: 513-832-0980
  • Fax:
Mailing address:
  • Phone: 513-403-2183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: