Provider Demographics
NPI:1275583346
Name:TORRE, PABLO DE LEON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PABLO
Middle Name:DE LEON
Last Name:TORRE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:343 E 30TH ST
Mailing Address - Street 2:APT. 12J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6417
Mailing Address - Country:US
Mailing Address - Phone:212-951-6833
Mailing Address - Fax:
Practice Address - Street 1:423 E 23RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5011
Practice Address - Country:US
Practice Address - Phone:212-951-6833
Practice Address - Fax:212-951-5457
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY161680208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology