Provider Demographics
NPI:1093894982
Name:DI TORO, DOROTHY (AUD)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:DI TORO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 E 34TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4920
Mailing Address - Country:US
Mailing Address - Phone:718-339-1319
Mailing Address - Fax:866-558-3684
Practice Address - Street 1:802 64TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4730
Practice Address - Country:US
Practice Address - Phone:718-748-5225
Practice Address - Fax:718-680-8360
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001906-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist