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NPI 1003411406

NPI 1003411406 : ADAM JOSEPH TORRES PA-C : STATEN ISLAND, NY

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General NPI Number Information
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    NPI Number           |    1003411406
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    Entity Type          |    Individual 
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    Provider Name        |    ADAM JOSEPH TORRES PA-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/02/2020
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    Last Update Date     |    07/15/2025
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Provider Practice Location Address
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    Address Line         |    900 SOUTH AVE 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10314-3418
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    Country              |    US
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    Telephone            |    718-226-6461
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1441 SOUTH AVE STE 701 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10314-3784
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    Country              |    US
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    Telephone            |    718-226-6461
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    Fax                  |    718-494-7016
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    025253
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    License Number State |    NY
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