Basic Information
Provider Information
NPI: 1255991451
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FIGUEROA TORRES
FirstName: MELIZA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: LMSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8840 214TH ST
Address2:  
City: QUEENS VILLAGE
State: NY
PostalCode: 114272318
CountryCode: US
TelephoneNumber: 6467250401
FaxNumber:  
Practice Location
Address1: 10470 QUEENS BLVD STE 500
Address2:  
City: FOREST HILLS
State: NY
PostalCode: 113753694
CountryCode: US
TelephoneNumber: 7182756010
FaxNumber: 7182756062
Other Information
ProviderEnumerationDate: 06/19/2019
LastUpdateDate: 06/19/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X104244NYY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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