Provider Demographics
NPI:1073583407
Name:TORRELL, RALPH (DPM)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:
Last Name:TORRELL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 FULTON ST
Mailing Address - Street 2:WESTBURY PODIATRY PC
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-3004
Mailing Address - Country:US
Mailing Address - Phone:516-333-6800
Mailing Address - Fax:516-333-6847
Practice Address - Street 1:210 FULTON ST
Practice Address - Street 2:WESTBURY PODIATRY PC
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-3004
Practice Address - Country:US
Practice Address - Phone:516-333-6800
Practice Address - Fax:516-333-6847
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003137213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AS026OtherOXFORD
NY00590890Medicaid
0025303S3OtherGHI
NY00590890Medicaid
T50968Medicare UPIN
NYP33441Medicare PIN