Provider Demographics
NPI:1972866812
Name:TORBERT, BEVERLEY (MPS SPECIAL ED)
Entity Type:Individual
Prefix:
First Name:BEVERLEY
Middle Name:
Last Name:TORBERT
Suffix:
Gender:F
Credentials:MPS SPECIAL ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 HERKIMER ST
Mailing Address - Street 2:APT 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-1127
Mailing Address - Country:US
Mailing Address - Phone:917-417-1099
Mailing Address - Fax:718-773-3335
Practice Address - Street 1:528 HERKIMER STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213
Practice Address - Country:US
Practice Address - Phone:917-417-1099
Practice Address - Fax:718-773-3335
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist