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General NPI Number Information
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NPI Number | 1700264405
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Entity Type | Individual
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Provider Name | LYDIA D TORRES D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/13/2015
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 530 5TH AVE FL 10
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City | NEW YORK
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State | NY
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Zip | 10036-5114
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Country | US
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Telephone | 917-261-4414
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Fax | 917-261-4420
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Provider Business Mailing Address
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Address Line | 1 LIBERTY PLZ # 301
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City | NEW YORK
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State | NY
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Zip | 10006-1404
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Country | US
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Telephone | 917-261-4414
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Fax | 917-261-4420
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1014330
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 294145
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License Number State | NY
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