Provider Demographics
NPI:1326782749
Name:FLORES, LORETO NOHEMI (ATR, LCAT-LP)
Entity Type:Individual
Prefix:
First Name:LORETO
Middle Name:NOHEMI
Last Name:FLORES
Suffix:
Gender:F
Credentials:ATR, LCAT-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 DOBBIN STREET
Mailing Address - Street 2:SUITE 204A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222
Mailing Address - Country:US
Mailing Address - Phone:347-255-7637
Mailing Address - Fax:
Practice Address - Street 1:117 DOBBIN STREET
Practice Address - Street 2:SUITE 204A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222
Practice Address - Country:US
Practice Address - Phone:347-255-7637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist