1740217827 NPI number — MS. MICHELLE ELIZABETH TORRES O.T.R. /L., M.S.

Table of content: MS. MICHELLE ELIZABETH TORRES O.T.R. /L., M.S. (NPI 1740217827)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740217827 NPI number — MS. MICHELLE ELIZABETH TORRES O.T.R. /L., M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TORRES
Provider First Name:
MICHELLE
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
O.T.R. /L., M.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740217827
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3202 BAINBRIDGE AVE
Provider Second Line Business Mailing Address:
SUITE D
Provider Business Mailing Address City Name:
BRONX
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10467-3947
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-881-9525
Provider Business Mailing Address Fax Number:
718-405-2267

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3202 BAINBRIDGE AVE
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10467-3947
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-881-9525
Provider Business Practice Location Address Fax Number:
718-405-2267
Provider Enumeration Date:
06/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , with the licence number:  012483-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 270088 . This is a "WELLCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1000047902 . This is a "AFINITY (BX HEALTH PLAN)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P3558386 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: PRV0000732 . This is a "HIP (CMO)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 180374P . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 75317290800 . This is a "TOUCHSTONE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com