Provider Demographics
NPI:1497169114
Name:TORRES, VERUZKA
Entity Type:Individual
Prefix:
First Name:VERUZKA
Middle Name:
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 1:1950 ANDREWS AVE
Mailing Address - Street 2:APT# 4B4
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-2806
Mailing Address - Country:US
Mailing Address - Phone:646-259-2894
Mailing Address - Fax:
Practice Address - Street 1:1950 ANDREWS AVE
Practice Address - Street 2:APT #4B4
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-2806
Practice Address - Country:US
Practice Address - Phone:646-259-2894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY430785473174400000X
NY639953121174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist