Provider Demographics
NPI:1083984330
Name:CROTON GI CARE, PC
Entity Type:Organization
Organization Name:CROTON GI CARE, PC
Other - Org Name:JULIE TORMAN MD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-271-4212
Mailing Address - Street 1:2005 ALBANY POST RD
Mailing Address - Street 2:SUITE 15
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-1573
Mailing Address - Country:US
Mailing Address - Phone:914-271-4212
Mailing Address - Fax:914-271-8319
Practice Address - Street 1:2005 ALBANY POST RD
Practice Address - Street 2:SUITE 15
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-1573
Practice Address - Country:US
Practice Address - Phone:914-271-4212
Practice Address - Fax:914-271-8319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194479207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01634808Medicaid
NY17I541Medicare PIN
NYA52853Medicare UPIN