Individual
BRIANNA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 WATER ST STE 401, WHITE PLAINS, NY 10601-1401
(914) 216-7585
Mailing address
596 KOSCIUSZKO ST, BROOKLYN, NY 11221-3057
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
765215
NY
Other
Enumeration date
02/03/2025
Last updated
02/10/2025
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