Healthcare Provider Details

I. General information

NPI: 1881300119
Provider Name (Legal Business Name): REBECCA ANNE LOVESZY MT-BC, LCAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBECCA RAMIREZ LOVESZY MT-BC, LCAT

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 01/30/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 WRIGHT ST
STATEN ISLAND NY
10304-2070
US

IV. Provider business mailing address

112 WRIGHT ST
STATEN ISLAND NY
10304-2070
US

V. Phone/Fax

Practice location:
  • Phone: 646-831-8662
  • Fax:
Mailing address:
  • Phone: 646-831-8662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number10199
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code283XC2000X
TaxonomyChildren's Rehabilitation Hospital
License Number10199
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number10199
License Number StateDC
# 6
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number000914
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: