MEDICARE: MS. LUZ T. TORRES LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	053421	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013130459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LUZ T. TORRES LCSW

Provider Business Mailing Address
First Line	:	457 PROSPECT AVE
Second Line	:	APT. #1
City	:	BROOKLYN
State	:	NY
Zip	:	11215-5804
Country	:	US
Telephone Number	:	718-499-4626
Fax Number	:

Provider Business Practice Location Address
First Line	:	457 PROSPECT AVE
Second Line	:	APT. #1
City	:	BROOKLYN
State	:	NY
Zip	:	11215-5804
Country	:	US
Telephone Number	:	718-499-4626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	07/09/2007

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