Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 019093 | NY |
N | 2251H1200X | Hand | 019093 | NY |
N | 2251N0400X | Physical Therapist - Neurology | 019093 | NY |
N | 2251S0007X | Physical Therapist - Sports | 019093 | NY |
Y | 2251X0800X | Physical Therapist - Orthopedic | 019093 | NY |
NPI | 1174637847 |
---|---|
Provider Name | Mr. Fernando Torres - Borjas |
First Address | Ridgefield Park, NJ 07660-1026 |
Second Address | Bronx, NY 10461-5726 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 13/05/2011 |