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Organization
AIDA LOPEZ
Active
Organization
AIDA LOPEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AIDA J LOPEZ I S.W (CLINICAL SOCIAL WORKER)
(347) 556-0991
Entity
Organization
Contact information
Practice address
417 PARK AVE, APT 9SW, NEW YORK, NY 10022-4401
(347) 556-0991
Mailing address
417 PARK AVE, APT 9SW, NEW YORK, NY 10022-4401
(347) 556-0991
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
086269
NY
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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