Provider Demographics
NPI:1467473058
Name:TORRELLI, FRANK A SR (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:A
Last Name:TORRELLI
Suffix:SR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13167 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ALDEN
Mailing Address - State:NY
Mailing Address - Zip Code:14004
Mailing Address - Country:US
Mailing Address - Phone:716-937-9473
Mailing Address - Fax:
Practice Address - Street 1:13167 BROADWAY
Practice Address - Street 2:
Practice Address - City:ALDEN
Practice Address - State:NY
Practice Address - Zip Code:14004
Practice Address - Country:US
Practice Address - Phone:716-937-9473
Practice Address - Fax:716-937-0256
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX3673111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY004351Medicare PIN