Provider Demographics
NPI:1740217827
Name:TORRES, MICHELLE ELIZABETH (OTR /L, MS)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:ELIZABETH
Last Name:TORRES
Suffix:
Gender:F
Credentials:OTR /L, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3202 BAINBRIDGE AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-3947
Mailing Address - Country:US
Mailing Address - Phone:718-881-9525
Mailing Address - Fax:718-405-2267
Practice Address - Street 1:3202 BAINBRIDGE AVE
Practice Address - Street 2:SUITE D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-3947
Practice Address - Country:US
Practice Address - Phone:718-881-9525
Practice Address - Fax:718-405-2267
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012483-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY270088OtherWELLCARE
NY1000047902OtherAFINITY (BX HEALTH PLAN)
NYP3558386OtherOXFORD
NYPRV0000732OtherHIP (CMO)
NY180374POtherHIP
NY75317290800OtherTOUCHSTONE
NYP3558386OtherOXFORD