Provider Demographics
NPI:1376858449
Name:TORRE, DENNIS (PT)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:
Last Name:TORRE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 DEVOE ST
Mailing Address - Street 2:APT 3 LEFT
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-3845
Mailing Address - Country:US
Mailing Address - Phone:718-644-8036
Mailing Address - Fax:
Practice Address - Street 1:241 DEVOE ST
Practice Address - Street 2:APT 3 LEFT
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-3845
Practice Address - Country:US
Practice Address - Phone:718-644-8036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008626-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist