Provider Demographics
NPI:1659861284
Name:TORRES, BENJAMIN (CASAC 8220)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:CASAC 8220
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 JOSEPH AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14605-1215
Mailing Address - Country:US
Mailing Address - Phone:585-325-4910
Mailing Address - Fax:585-546-1491
Practice Address - Street 1:585 JOSEPH AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605-1215
Practice Address - Country:US
Practice Address - Phone:585-325-4910
Practice Address - Fax:585-546-1491
Is Sole Proprietor?:No
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8220101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)