MEDICARE: MS. LORRAINE SARA SCHORR MSW

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
1	1041C0700X	Clinical Social Worker	R040899	NY

General Provider Information

NPI Number	:	1730195157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LORRAINE SARA SCHORR MSW

Provider Business Mailing Address
First Line	:	11 MEDICAL PARK DR
Second Line	:	SUITE 102
City	:	POMONA
State	:	NY
Zip	:	10970-3559
Country	:	US
Telephone Number	:	845-354-5040
Fax Number	:	845-354-5040

Provider Business Practice Location Address
First Line	:	11 MEDICAL PARK DR
Second Line	:	SUITE 102
City	:	POMONA
State	:	NY
Zip	:	10970-3559
Country	:	US
Telephone Number	:	845-354-5040
Fax Number	:	845-354-5040

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	06/09/2010

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