Provider Demographics
NPI:1700348695
Name:LORCA, MARIA CLARA NEVES
Entity Type:Individual
Prefix:
First Name:MARIA CLARA
Middle Name:NEVES
Last Name:LORCA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARIA CLARA
Other - Middle Name:CAMPOS SILVA E
Other - Last Name:NEVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:34 FARM FIELD LN
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2865
Mailing Address - Country:US
Mailing Address - Phone:415-748-9099
Mailing Address - Fax:
Practice Address - Street 1:100 WOODS RD
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-493-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA085163872085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology