Provider Demographics
NPI:1346533536
Name:TORELI, ALEKSANDRE (MD)
Entity Type:Individual
Prefix:
First Name:ALEKSANDRE
Middle Name:
Last Name:TORELI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ALEKSANDRE
Other - Middle Name:
Other - Last Name:KAKAURIDZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:719 OCEAN VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6317
Mailing Address - Country:US
Mailing Address - Phone:929-844-3332
Mailing Address - Fax:347-699-6741
Practice Address - Street 1:719 OCEAN VIEW AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6317
Practice Address - Country:US
Practice Address - Phone:929-844-3332
Practice Address - Fax:347-699-6741
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280568207RI0011X, 207R00000X, 208M00000X, 207RC0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program