Individual
MRS. PATRICIA ANN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.ED.
Contact information
Practice address
135 LINCOLN DR, OAKDALE, NY 11769-2133
(631) 244-6909
Mailing address
135 LINCOLN DR, OAKDALE, NY 11769-2133
(631) 244-6909
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
535961941
NY
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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