Provider Demographics
NPI:1508006743
Name:RAMOS-TORAL, MYLENE M (PT)
Entity Type:Individual
Prefix:
First Name:MYLENE
Middle Name:M
Last Name:RAMOS-TORAL
Suffix:
Gender:F
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:PO BOX 4742
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-4742
Mailing Address - Country:US
Mailing Address - Phone:732-692-3290
Mailing Address - Fax:212-202-4145
Practice Address - Street 1:324 MONTGOMERY ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-2714
Practice Address - Country:US
Practice Address - Phone:732-692-3290
Practice Address - Fax:212-202-4145
Is Sole Proprietor?:No
Enumeration Date:2009-02-28
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY29824225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist