Provider Demographics
NPI:1750904702
Name:TORFF, LAURA GRACE
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:GRACE
Last Name:TORFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 THE SPUR
Mailing Address - Street 2:
Mailing Address - City:LOCUST VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11560-1919
Mailing Address - Country:US
Mailing Address - Phone:516-314-7980
Mailing Address - Fax:516-759-4088
Practice Address - Street 1:10 THE SPUR
Practice Address - Street 2:
Practice Address - City:LOCUST VALLEY
Practice Address - State:NY
Practice Address - Zip Code:11560-1919
Practice Address - Country:US
Practice Address - Phone:516-314-7980
Practice Address - Fax:516-759-4088
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
252Y00000X
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency