Individual
CHRISTIAN IVAN LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1745 BROADWAY, 17TH FL., NEW YORK, NY 10019-4640
(212) 851-8100
(212) 537-0102
Mailing address
1745 BROADWAY, 17TH FL., NEW YORK, NY 10019-4640
(212) 851-8100
(212) 537-0102
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSB94021854
CA
103TC0700X
Clinical Psychologist
Primary
P04143
NY
Other
Enumeration date
09/09/2009
Last updated
11/14/2016
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