Provider Demographics
NPI:1326176819
Name:TORRES-FLORES, EVELYN (PT)
Entity Type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:
Last Name:TORRES-FLORES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:DR
Other - First Name:EVELYN
Other - Middle Name:
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:670 E JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-7518
Mailing Address - Country:US
Mailing Address - Phone:917-774-3921
Mailing Address - Fax:
Practice Address - Street 1:670 E JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-7518
Practice Address - Country:US
Practice Address - Phone:917-774-3921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2015-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025980225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist