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NPI 1275698466

NPI 1275698466 : GINA M TORTO PSY.D. : BINGHAMTON, NY

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General NPI Number Information
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    NPI Number           |    1275698466
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    Entity Type          |    Individual 
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    Provider Name        |    GINA M TORTO PSY.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/27/2006
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    Last Update Date     |    08/03/2013
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Provider Practice Location Address
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    Address Line         |    2 WILLARD ST 
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    City                 |    BINGHAMTON
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    State                |    NY
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    Zip                  |    13904-1115
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    Country              |    US
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    Telephone            |    607-222-5779
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    217 JEFFERSON AVE 
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    City                 |    ENDICOTT
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    State                |    NY
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    Zip                  |    13760-5244
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    Country              |    US
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    Telephone            |    607-222-5779
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    Fax                  |    
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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        |    273R00000X
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    Taxonomy Name        |    Psychiatric Hospital Unit
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    License Number       |    020135
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    020135
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    103TC2200X
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    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
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    License Number       |    020135
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    License Number State |    NY
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