1467572339 NPI number — MRS. PATRICIA A LOSSMANN X LCSW

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467572339 NPI number — MRS. PATRICIA A LOSSMANN X LCSW

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

LOSSMANN

Provider First Name:

PATRICIA

Provider Middle Name:

A

Provider Name Prefix Text:

MRS.

Provider Name Suffix Text:

X

Provider Credential Text:

LCSW

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1467572339

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

12/01/2011

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

41 NASSAU AVE

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

PLAINVIEW

Provider Business Mailing Address State Name:

NY

Provider Business Mailing Address Postal Code:

11803-3536

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

516-942-3920

Provider Business Mailing Address Fax Number:

516-942-3920

Provider First Line Business Practice Location Address:

366 N BROADWAY

Provider Second Line Business Practice Location Address:

SUITE LE4

Provider Business Practice Location Address City Name:

JERICHO

Provider Business Practice Location Address State Name:

NY

Provider Business Practice Location Address Postal Code:

11753-2025

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

516-942-3920

Provider Business Practice Location Address Fax Number:

516-942-3920

Provider Enumeration Date:

04/02/2007

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 1041C0700X , with the licence number:  R038771-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: R038773 . This is a "MAGNA CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 293154000 . This is a "MAGELLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 099678 . This is a "VALUE OPTIONS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: RO38773 . This is a "UBH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 7405609 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: P591184 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: ZC0706 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 216451 . This is a "MHN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 5245388 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 123427P . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 24196 . This is a "VYTRA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: R038773 . This is a "MULTI PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".