Provider Demographics
NPI:1003969965
Name:TORO, MILLY S (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:MILLY
Middle Name:S
Last Name:TORO
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 HUNTINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-1942
Mailing Address - Country:US
Mailing Address - Phone:718-823-2228
Mailing Address - Fax:
Practice Address - Street 1:234 E. 149TH ST.
Practice Address - Street 2:LINCOLN MEDICAL & MENTAL HEALTH CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-579-5657
Practice Address - Fax:718-579-5310
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR05096511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical