Individual
ALFREDO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 PROSPECT AVE, SYRACUSE, NY 13208
(315) 703-5200
(315) 703-5201
Mailing address
516 PROSPECT AVE, OBGYN, SYRACUSE, NY 13208
(315) 703-5200
(315) 703-5201
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2021231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01665049
—
NY
Enumeration date
03/14/2006
Last updated
03/03/2008
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