Healthcare Provider Details

I. General information

NPI: 1508226564
Provider Name (Legal Business Name): SONIA LOZANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2016
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 CHAPEL ST
GARNERVILLE NY
10923-1238
US

IV. Provider business mailing address

49 SPICE BUSH LN
TUXEDO PARK NY
10987-3519
US

V. Phone/Fax

Practice location:
  • Phone: 845-942-3000
  • Fax:
Mailing address:
  • Phone: 516-603-9614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1604015
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14946597
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: