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NPI Code Detail

MEDICARE: MR. RICARDO TORRES SR. LCSW

MEDICARE: MR. RICARDO TORRES SR. 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
11041C0700XClinical Social Worker062668NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11285628552OTHERNYAGENCY NPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548239528
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICARDO TORRES SR. LCSW
Provider Business Mailing Address
First Line : 2432 GRAND CONCOURSE
Second Line : 1 ST FLOOR
City : BRONX
State : NY
Zip : 10458-5204
Country : US
Telephone Number : 718-817-7900
Fax Number : 718-466-8190
Provider Business Practice Location Address
First Line : 2432 GRAND CONCOURSE
Second Line : 1 ST FLOOR
City : BRONX
State : NY
Zip : 10458-5204
Country : US
Telephone Number : 718-817-7900
Fax Number : 718-466-8190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 11/04/2014

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