Provider Demographics
NPI:1619429024
Name:MORALES LUJAN, MARIA AMPARO
Entity Type:Individual
Prefix:
First Name:MARIA AMPARO
Middle Name:
Last Name:MORALES LUJAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 MAIN ST STE 520
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-2421
Mailing Address - Country:US
Mailing Address - Phone:914-533-4950
Mailing Address - Fax:914-408-0200
Practice Address - Street 1:235 MAIN ST STE 520
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-2421
Practice Address - Country:US
Practice Address - Phone:914-533-4950
Practice Address - Fax:914-408-0200
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-01
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator