Individual
MRS. CAROLINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-7300
Mailing address
45 NAPLES AVE, BELLEVILLE, NJ 07109-1121
(908) 400-7538
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F431119
NY
Other
Enumeration date
07/11/2017
Last updated
06/08/2021
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