Provider Demographics
NPI:1699847756
Name:TORRISI, LARRY (LCSW)
Entity Type:Individual
Prefix:MR
First Name:LARRY
Middle Name:
Last Name:TORRISI
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 GRASSLANDS RD
Mailing Address - Street 2:ROOM#N326
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1652
Mailing Address - Country:US
Mailing Address - Phone:914-493-7546
Mailing Address - Fax:914-493-1015
Practice Address - Street 1:95 GRASSLANDS RD
Practice Address - Street 2:ROOM#N326
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1652
Practice Address - Country:US
Practice Address - Phone:914-493-7546
Practice Address - Fax:914-493-1015
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR023678104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN19942Medicare ID - Type Unspecified