Provider Demographics
NPI:1609861046
Name:TORRISI, PAUL FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:FRANCIS
Last Name:TORRISI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3107 E GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224-1646
Mailing Address - Country:US
Mailing Address - Phone:315-445-8166
Mailing Address - Fax:315-445-2697
Practice Address - Street 1:3107 E GENESEE ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13224-1646
Practice Address - Country:US
Practice Address - Phone:315-445-8166
Practice Address - Fax:315-445-2697
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116379207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00362758Medicaid
NY34615BMedicare ID - Type Unspecified
NYB81099Medicare UPIN