Provider Demographics
NPI:1043493604
Name:TOROTORO, HANE LUNA (PT)
Entity Type:Individual
Prefix:MS
First Name:HANE
Middle Name:LUNA
Last Name:TOROTORO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8707 58TH AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4820
Mailing Address - Country:US
Mailing Address - Phone:646-932-1969
Mailing Address - Fax:
Practice Address - Street 1:163 AMSTERDAM AVE
Practice Address - Street 2:BOX 293
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5001
Practice Address - Country:US
Practice Address - Phone:917-685-9334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0288591225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ2232Q49E1Medicare PIN