Provider Demographics
NPI:1922213651
Name:SZABO, TORI ANN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:TORI
Middle Name:ANN
Last Name:SZABO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 MARGARET DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-5419
Mailing Address - Country:US
Mailing Address - Phone:631-278-1217
Mailing Address - Fax:
Practice Address - Street 1:8 MARGARET DR
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-5419
Practice Address - Country:US
Practice Address - Phone:631-278-1217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011606363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant