MR. IVAN ALDO MEDRANO LMSW NPI 1790188647

NPI Details

MR. Ivan Aldo Medrano, LMSW is a local education agency lea in Howard Beach, NY. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. MR. Ivan Aldo Medrano, LMSW NPI is 1790188647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8212 151ST AVE
HOWARD BEACH, NY
ZIP 11414-793
Phone: (718) 848-0300
Fax: (718) 835-2862

The enumeration date for this NPI number is 10/7/2014 and was last updated on 10/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: