Healthcare Provider Details

I. General information

NPI: 1992408934
Provider Name (Legal Business Name): THERESA F DEL-TORO LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 03/27/2023
Certification Date: 03/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

579 COURTLANDT AVE
BRONX NY
10451-5013
US

IV. Provider business mailing address

1840 SEDGWICK AVE APT 5D
BRONX NY
10453-5028
US

V. Phone/Fax

Practice location:
  • Phone: 718-485-2100
  • Fax:
Mailing address:
  • Phone: 917-743-9737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number118836
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: