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NPI Code Detail

MEDICARE: AMANDA LOSQUATRO

MEDICARE: AMANDA LOSQUATRO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1366791196
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LOSQUATRO
Provider Business Mailing Address
First Line : 1827 ARCHER ST
Second Line :
City : BRONX
State : NY
Zip : 10460-6203
Country : US
Telephone Number : 718-792-2650
Fax Number :
Provider Business Practice Location Address
First Line : 1827 ARCHER ST
Second Line :
City : BRONX
State : NY
Zip : 10460-6203
Country : US
Telephone Number : 718-792-2650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2012
Last Update Date : 01/26/2017

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Directions to “ AMANDA LOSQUATRO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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