MEDICARE: ASTRID TORIBIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1790328458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASTRID TORIBIO

Provider Business Mailing Address
First Line	:	126 MONROE TPKE # 210
Second Line	:
City	:	TRUMBULL
State	:	CT
Zip	:	06611-1300
Country	:	US
Telephone Number	:	347-781-8080
Fax Number	:

Provider Business Practice Location Address
First Line	:	126 MONROE TPKE # 210
Second Line	:
City	:	TRUMBULL
State	:	CT
Zip	:	06611-1300
Country	:	US
Telephone Number	:	347-781-8080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2019
Last Update Date	:	07/05/2023

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Directions to “ ASTRID TORIBIO ” Practice Location

Language	Start Address	Practice Location

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