MEDICARE: MRS. EVELYN TORRES-FLORES PT

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	225100000X	Physical Therapist	025980	NY

General Provider Information

NPI Number	:	1326176819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EVELYN TORRES-FLORES PT

Provider Business Mailing Address
First Line	:	670 E JERICHO TPKE
Second Line	:
City	:	HUNTINGTON STATION
State	:	NY
Zip	:	11746-7518
Country	:	US
Telephone Number	:	917-774-3921
Fax Number	:

Provider Business Practice Location Address
First Line	:	670 E JERICHO TPKE
Second Line	:
City	:	HUNTINGTON STATION
State	:	NY
Zip	:	11746-7518
Country	:	US
Telephone Number	:	917-774-3921
Fax Number	:

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	05/03/2015

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