Provider Demographics
NPI:1104553882
Name:TORIM, KRASSEL
Entity type:Individual
Prefix:
First Name:KRASSEL
Middle Name:
Last Name:TORIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KRASSY
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1706 47TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1227
Mailing Address - Country:US
Mailing Address - Phone:347-451-8282
Mailing Address - Fax:
Practice Address - Street 1:1706 47TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1227
Practice Address - Country:US
Practice Address - Phone:347-451-8282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator