MEDICARE: LOREDANA AMOROSO M.A. EDUCATION

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	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1780092643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOREDANA AMOROSO M.A. EDUCATION

Provider Business Mailing Address
First Line	:	94 COCHRAN PL
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11581-1808
Country	:	US
Telephone Number	:	347-231-9213
Fax Number	:

Provider Business Practice Location Address
First Line	:	94 COCHRAN PL
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11581-1808
Country	:	US
Telephone Number	:	347-231-9213
Fax Number	:

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

Provider Enumeration Date	:	07/23/2014
Last Update Date	:	07/23/2014

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