Provider Demographics
NPI:1962646331
Name:TORRES, ABIGAIL (RPA-C)
Entity Type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6601 BURNS ST
Mailing Address - Street 2:APT. 6F
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3948
Mailing Address - Country:US
Mailing Address - Phone:718-897-7345
Mailing Address - Fax:
Practice Address - Street 1:9207 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7941
Practice Address - Country:US
Practice Address - Phone:178-396-3241
Practice Address - Fax:718-396-3173
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005337363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYZ888801Medicare PIN