=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225956162
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | -
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2026
-----------------------------------------------------
Last Update Date | 07/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 92 BROADWAY STE 216
-----------------------------------------------------
City | GREENLAWN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11740-1328
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-533-5185
-----------------------------------------------------
Fax | 631-462-2430
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 92 BROADWAY STE 216
-----------------------------------------------------
City | GREENLAWN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11740-1328
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-533-5185
-----------------------------------------------------
Fax | 631-462-2430
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SOLE PROPRIETOR
-----------------------------------------------------
Name | DR. DAWN MARIE LOSHIGIAN
-----------------------------------------------------
Credential | PSYD, LCP, LMHC
-----------------------------------------------------
Telephone | 631-533-5185
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------