Provider Demographics
NPI:1245205798
Name:DI TORO, LINDA TERESA (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:TERESA
Last Name:DI TORO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2955 VETERANS RD W STE 2C
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-2504
Mailing Address - Country:US
Mailing Address - Phone:718-356-6000
Mailing Address - Fax:718-356-6267
Practice Address - Street 1:2955 VETERANS RD W STE 2C
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-2504
Practice Address - Country:US
Practice Address - Phone:718-356-6000
Practice Address - Fax:718-356-6267
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-20
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182588208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics