MEDICARE: MS. MICHELLE ELIZABETH TORRES O.T.R. /L., M.S.

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	225X00000X	Occupational Therapist	012483-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	270088	OTHER	NY	WELLCARE
2	1000047902	OTHER	NY	AFINITY (BX HEALTH PLAN)
3	P3558386	OTHER	NY	OXFORD
4	PRV0000732	OTHER	NY	HIP (CMO)
5	180374P	OTHER	NY	HIP
6	75317290800	OTHER	NY	TOUCHSTONE

General Provider Information

NPI Number	:	1740217827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELLE ELIZABETH TORRES O.T.R. /L., M.S.

Provider Business Mailing Address
First Line	:	3202 BAINBRIDGE AVE
Second Line	:	SUITE D
City	:	BRONX
State	:	NY
Zip	:	10467-3947
Country	:	US
Telephone Number	:	718-881-9525
Fax Number	:	718-405-2267

Provider Business Practice Location Address
First Line	:	3202 BAINBRIDGE AVE
Second Line	:	SUITE D
City	:	BRONX
State	:	NY
Zip	:	10467-3947
Country	:	US
Telephone Number	:	718-881-9525
Fax Number	:	718-405-2267

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

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	07/08/2007

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