Provider Demographics
NPI:1265763635
Name:CASTROMORALES, LORNA IVETTE (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:LORNA
Middle Name:IVETTE
Last Name:CASTROMORALES
Suffix:
Gender:
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1489 HOE AVE
Mailing Address - Street 2:1169 CROSBY AVENUE
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-5905
Mailing Address - Country:US
Mailing Address - Phone:718-378-0310
Mailing Address - Fax:
Practice Address - Street 1:1489 HOE AVE
Practice Address - Street 2:SUITE # A5
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-5905
Practice Address - Country:US
Practice Address - Phone:718-378-0310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-24
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005050-1225700000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist