Individual
MS. AURA C LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85-09 151 AVENUE, #4M, HOWARD BEACH, NY 11414
(718) 825-5659
Mailing address
8509 151ST AVE APT 4M, HOWARD BEACH, NY 11414-1305
(718) 825-5659
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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