Provider Demographics
NPI:1902459183
Name:LAHOZ, IVANNA (CARE COORDINATOR)
Entity Type:Individual
Prefix:
First Name:IVANNA
Middle Name:
Last Name:LAHOZ
Suffix:
Gender:F
Credentials:CARE COORDINATOR
Other - Prefix:
Other - First Name:IVANNA
Other - Middle Name:
Other - Last Name:LAHOZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CARE COORDINATOR
Mailing Address - Street 1:256 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10553-1052
Mailing Address - Country:US
Mailing Address - Phone:914-498-1290
Mailing Address - Fax:
Practice Address - Street 1:256 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10553-1052
Practice Address - Country:US
Practice Address - Phone:914-498-1290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY13-1839684OtherTHE GUIDANCE CENTER OF WESTCHESTER