Provider Demographics
NPI:1285613539
Name:TORRES, CAMILO G (MD)
Entity type:Individual
Prefix:DR
First Name:CAMILO
Middle Name:G
Last Name:TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 READE PLACE
Mailing Address - Street 2:DYSON CENTER, 1ST FLOOR
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3947
Mailing Address - Country:US
Mailing Address - Phone:845-431-5645
Mailing Address - Fax:845-437-3123
Practice Address - Street 1:111 MARYS AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-5852
Practice Address - Country:US
Practice Address - Phone:845-339-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-14
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1991142085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2269E1OtherEMPIRE BCBS
NY4193770OtherGHI PPO
NY711979OtherMVP
NY000416872001OtherBCBS NE NY
NY000416872002OtherBCBS NE NY
NY711980OtherMVP
NY10079636OtherCDPHP
NY2270E1OtherEMPIRE BCBS
NY000416872003OtherBCBS NE NY
NY02563808Medicaid
NY80864OtherGHI HMO
NY80864OtherGHI HMO
NY10079636OtherCDPHP
NY2269E1OtherEMPIRE BCBS