Provider Demographics
NPI:1538044326
Name:LOZANO, GIOVANNY A
Entity type:Individual
Prefix:
First Name:GIOVANNY
Middle Name:A
Last Name:LOZANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 PRINCE ST
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-7028
Mailing Address - Country:US
Mailing Address - Phone:646-234-0782
Mailing Address - Fax:646-234-0782
Practice Address - Street 1:17 PRINCE ST
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-7028
Practice Address - Country:US
Practice Address - Phone:646-234-0782
Practice Address - Fax:646-234-0782
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-09
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY680265121103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool