Provider Demographics
NPI:1083117600
Name:RANERI, LOREDANA LINA
Entity Type:Individual
Prefix:MRS
First Name:LOREDANA
Middle Name:LINA
Last Name:RANERI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LOREDANA
Other - Middle Name:LINA
Other - Last Name:GALLINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16143 87TH ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-3302
Mailing Address - Country:US
Mailing Address - Phone:917-804-3700
Mailing Address - Fax:
Practice Address - Street 1:500 BI COUNTY BLVD
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3988
Practice Address - Country:US
Practice Address - Phone:516-265-4177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency