Provider Demographics
NPI:1306193156
Name:TORRES, CHRISTOPHER ROBERT (RPA-C)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ROBERT
Last Name:TORRES
Suffix:
Gender:M
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:PO BOX 626
Mailing Address - Street 2:
Mailing Address - City:GREAT RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:11739-0626
Mailing Address - Country:US
Mailing Address - Phone:201-599-8056
Mailing Address - Fax:201-599-8055
Practice Address - Street 1:15 E MIDLAND AVE STE 1A
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2926
Practice Address - Country:US
Practice Address - Phone:201-599-8056
Practice Address - Fax:201-599-8055
Is Sole Proprietor?:No
Enumeration Date:2012-08-11
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016109363A00000X
363A00000X
NJ25MP00355200363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant