MEDICARE: MR. ALVARO LORENZOTTI

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	104100000X	Social Worker	090393	NY

General Provider Information

NPI Number	:	1558805762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALVARO LORENZOTTI

Provider Business Mailing Address
First Line	:	6776 BOOTH ST
Second Line	:	APT: 4M
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-3158
Country	:	US
Telephone Number	:	516-776-6410
Fax Number	:

Provider Business Practice Location Address
First Line	:	6776 BOOTH ST
Second Line	:	APT: 4M
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-3158
Country	:	US
Telephone Number	:	516-776-6410
Fax Number	:

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

Provider Enumeration Date	:	12/06/2016
Last Update Date	:	11/17/2025

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