MEDICARE: ELIZABETH TORRES M.ED

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	103K00000X	Behavior Analyst	578391	NY

General Provider Information

NPI Number	:	1376970798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH TORRES M.ED

Provider Business Mailing Address
First Line	:	541 SAINT LAWRENCE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10473-3607
Country	:	US
Telephone Number	:	718-893-2134
Fax Number	:

Provider Business Practice Location Address
First Line	:	541 SAINT LAWRENCE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10473-3607
Country	:	US
Telephone Number	:	718-893-2134
Fax Number	:

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

Provider Enumeration Date	:	09/30/2013
Last Update Date	:	09/30/2013

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