Most Relevant Information
Provider Data
| NPI Number: | 1003345745 |
| Provider Name: | IPHIGENIA MARI TORTORA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/07/2017 |
| Last Updated: | 06/20/2018 |
Provider Practice Location
40 HENRIETTA BLVD
AMSTERDAM
NY
12010
Practice Location Phone/Fax
| Phone: | 5188433003 |
| Fax: |
Provider Mailing Location
40 HENRIETTA BLVD
AMSTERDAM
NY
120101111
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |