Provider Demographics
NPI:1780092643
Name:AMOROSO, LOREDANA (MA EDUCATION)
Entity type:Individual
Prefix:
First Name:LOREDANA
Middle Name:
Last Name:AMOROSO
Suffix:
Gender:F
Credentials:MA EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 COCHRAN PL
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-1808
Mailing Address - Country:US
Mailing Address - Phone:347-231-9213
Mailing Address - Fax:
Practice Address - Street 1:94 COCHRAN PL
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-1808
Practice Address - Country:US
Practice Address - Phone:347-231-9213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-23
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)