Provider Demographics
NPI:1780817106
Name:DE TORRONTEGUI, NOEL ALCANTARA (RPH)
Entity Type:Individual
Prefix:MR
First Name:NOEL
Middle Name:ALCANTARA
Last Name:DE TORRONTEGUI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24617 63RD AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:DOUGLASTON
Mailing Address - State:NY
Mailing Address - Zip Code:11362-2024
Mailing Address - Country:US
Mailing Address - Phone:347-235-0898
Mailing Address - Fax:
Practice Address - Street 1:2428 BELL BLVD
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-2223
Practice Address - Country:US
Practice Address - Phone:718-747-0291
Practice Address - Fax:718-747-0295
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist