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Bryan De La Torre, MD
Student in an Organized Health Care Education/Training Program in West Islip, New York
NPI 1396325122

Bryan De La Torre is a Student in an Organized Health Care Education/Training Program based in West Islip, NY. Bryan De La Torre practices in West Islip, NY and has the professional credentials of MD. The NPI Number for Bryan De La Torre is 1396325122 and holds a License No. (New York).

The current practice location address for Bryan De La Torre is 1000 Montauk Hwy, West Islip, NY and can be reached out via phone at 631-376-4163 and via fax at 631-376-3420.

Location: 1000 Montauk Hwy, West Islip, NY, 11795-4927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396325122
Provider Name
Bryan De La Torre
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 Montauk Hwy, West Islip, NY, 11795-4927
Phone Number
631-376-4163
Fax Number
631-376-3420
Provider Enumeration Date
04/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Montauk Hwy
City
West Islip
State
New York
Zip
11795-4927
Phone Number
631-376-4163
Fax Number
631-376-3420
person
Provider Business Mailing Address Details
Address
1000 Montauk Hwy
City
West Islip
State
New York
Zip
11795-4927
Phone Number
631-376-4163
Fax Number
631-376-3420
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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