MEDICARE: GIOVANNY A LOZANO

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	103TS0200X	School Psychologist	680265121	NY

General Provider Information

NPI Number	:	1538044326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIOVANNY A LOZANO

Provider Business Mailing Address
First Line	:	17 PRINCE ST
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-7028
Country	:	US
Telephone Number	:	646-234-0782
Fax Number	:	646-234-0782

Provider Business Practice Location Address
First Line	:	17 PRINCE ST
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-7028
Country	:	US
Telephone Number	:	646-234-0782
Fax Number	:	646-234-0782

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

Provider Enumeration Date	:	08/09/2025
Last Update Date	:	08/09/2025

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Directions to “ GIOVANNY A LOZANO ” Practice Location

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