Provider Demographics
NPI:1366857625
Name:TORRES, LAURA A
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 HUTCHINSON RIVER PKWY E
Mailing Address - Street 2:APT 23B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-4702
Mailing Address - Country:US
Mailing Address - Phone:917-993-3676
Mailing Address - Fax:
Practice Address - Street 1:4200 HUTCHINSON RIVER PKWY E
Practice Address - Street 2:APT 23B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-4702
Practice Address - Country:US
Practice Address - Phone:917-993-3676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program