Provider Demographics
NPI:1023328127
Name:LORIN, EUGENIA (M A)
Entity type:Individual
Prefix:MRS
First Name:EUGENIA
Middle Name:
Last Name:LORIN
Suffix:
Gender:F
Credentials:M A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 KERI WAY
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-1248
Mailing Address - Country:US
Mailing Address - Phone:917-826-2876
Mailing Address - Fax:516-496-2520
Practice Address - Street 1:60 KERI WAY
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-1248
Practice Address - Country:US
Practice Address - Phone:917-826-2876
Practice Address - Fax:516-496-2520
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010137-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist