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NPI Code Detail

MEDICARE: CHASTITY I TORRES

MEDICARE: CHASTITY I TORRES
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1891079919
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASTITY I TORRES
Provider Business Mailing Address
First Line : 45 SEAVER AVE
Second Line : APT 5D
City : STATEN ISLAND
State : NY
Zip : 10306-2667
Country : US
Telephone Number : 718-982-6982
Fax Number :
Provider Business Practice Location Address
First Line : 2795 RICHMOND AVE
Second Line : JBFCS- MBC
City : STATEN ISLAND
State : NY
Zip : 10314-5866
Country : US
Telephone Number : 718-982-6982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2011
Last Update Date : 10/07/2011

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Directions to “ CHASTITY I TORRES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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