Provider Demographics
NPI:1972805935
Name:TORRES, CARLOS MANUEL (DDS)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:MANUEL
Last Name:TORRES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 WEST END AVE.
Mailing Address - Street 2:SUITE 1 B&C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4933
Mailing Address - Country:US
Mailing Address - Phone:212-799-0893
Mailing Address - Fax:212-595-4405
Practice Address - Street 1:470 WEST END AVE.
Practice Address - Street 2:SUITE 1 B&C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4933
Practice Address - Country:US
Practice Address - Phone:212-799-0893
Practice Address - Fax:212-595-4405
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-24
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0432751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice