Individual
MRS. CRISTINA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
519 W 189TH ST APT 1I, NEW YORK, NY 10040-4648
(212) 923-8257
Mailing address
519 W 189TH ST APT 1I, NEW YORK, NY 10040-4648
(212) 923-8257
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
084463-1
NY
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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