Individual
KATHERINE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1363 VETERANS MEMORIAL HWY STE 8, HAUPPAUGE, NY 11788-3046
(631) 366-3876
Mailing address
73 OLD BROOK RD, DIX HILLS, NY 11746-6429
(631) 901-4689
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
NY
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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