MRS. Jessica Tara Tornatore

NPI #1053675553 in Rego Park, New York

Provider Information

NPI Number: 1053675553
Entity Type: Individual
Name: MRS. Jessica Tara Tornatore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 28, 2012
Last Updated: Jun 28, 2012

Practice Location

Address: 9777 QUEENS BLVD
Address 2: PH
City: Rego Park
State: New York
ZIP Code: 11374-3335
Phone: (718) 830-9274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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