| Norberto I. Torres-otero, Md, Pc | |
|
12 Greenridge Ave Ste 201 White Plains NY 10605-1238 | |
| (914) 592-4312 | |
| (914) 592-5305 |
| Full Name | Norberto I. Torres-otero, Md, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12 Greenridge Ave Ste 201, White Plains, New York |
| Authorized Official Name and Position | Norberto Israel Torres-otero (PRESIDENT) |
| Authorized Official Contact | 9145924312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norberto I. Torres-otero, Md, Pc 12 Greenridge Ave Ste 201 White Plains NY 10605-1238 Ph: (914) 592-4312 | Norberto I. Torres-otero, Md, Pc 12 Greenridge Ave Ste 201 White Plains NY 10605-1238 Ph: (914) 592-4312 |
| NPI Number | 1871897850 |
|---|---|
| Provider Enumeration Date | 01/05/2011 |
| Last Update Date | 03/26/2012 |
| Medicare PECOS PAC ID | 9830373547 |
|---|---|
| Medicare Enrollment ID | O20110405000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871897850 | NPI | - | NPPES |
| 01973019 | Medicaid | NY | |
| 59N061 | Other | NY | BLUE CROSS/BLUE SHIELD |
| P1837651 | Other | NY | OXFORD HEALTH PLANS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 214525 (New York) | Primary |
| Provider Name | Norberto I Torres-otero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174508139 PECOS PAC ID: 0840222725 Enrollment ID: I20110405000014 |
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