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Individual
DR. VASCO LOPES
Active
Individual
DR. VASCO LOPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY D
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY12605
FL
103TC0700X
Clinical Psychologist
Primary
019843-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00745088
AGENCY MEDICAID MMIS #
NY
01
—
1003991019
AGENCY NPI #
NY
Enumeration date
10/08/2010
Last updated
09/14/2026
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