Provider Demographics
NPI:1700264405
Name:TORRES, LYDIA D (DO)
Entity type:Individual
Prefix:
First Name:LYDIA
Middle Name:D
Last Name:TORRES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1 LIBERTY PLZ # 301
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10006-1404
Mailing Address - Country:US
Mailing Address - Phone:917-261-4414
Mailing Address - Fax:917-261-4420
Practice Address - Street 1:530 5TH AVE FL 10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-5114
Practice Address - Country:US
Practice Address - Phone:917-261-4414
Practice Address - Fax:917-261-4420
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-13
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1014330207Q00000X
NY294145207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty