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General NPI Number Information
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NPI Number | 1811641905
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Entity Type | Individual
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Provider Name | SERGIO TORRES JR. LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 579 COURTLANDT AVE
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City | BRONX
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State | NY
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Zip | 10451-5013
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Country | US
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Telephone | 347-719-3305
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Fax |
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Provider Business Mailing Address
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Address Line | 3134 30TH ST APT 2R
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City | ASTORIA
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State | NY
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Zip | 11106-2838
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Country | US
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Telephone | 917-202-7833
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 101172
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License Number State | NY
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