Lissette Toro, AGPCNP | |
7924 Jamaica Ave, Woodhaven, NY 11421-1801 | |
(718) 374-3252 | |
Not Available |
Full Name | Lissette Toro |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 7924 Jamaica Ave, Woodhaven, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811616824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | F310544 (New York) | Primary |
Entity Name | Ny Family Practice Physicians, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790936854 PECOS PAC ID: 4688731623 Enrollment ID: O20090319000488 |
Mailing Address | Practice Location Address |
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Lissette Toro, AGPCNP 7924 Jamaica Ave, Woodhaven, NY 11421-1801 Ph: (718) 805-0037 | Lissette Toro, AGPCNP 7924 Jamaica Ave, Woodhaven, NY 11421-1801 Ph: (718) 374-3252 |
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