Provider Demographics
NPI:1659541167
Name:TORKY, TAMER S (PT)
Entity Type:Individual
Prefix:MR
First Name:TAMER
Middle Name:S
Last Name:TORKY
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 1:316B NORWAY AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-3536
Mailing Address - Country:US
Mailing Address - Phone:917-696-6107
Mailing Address - Fax:718-980-7101
Practice Address - Street 1:316B NORWAY AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-3536
Practice Address - Country:US
Practice Address - Phone:917-696-6107
Practice Address - Fax:718-980-7101
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025355225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist