Individual
MRS. AMY MARIE LOPEZ
Active
Individual
MRS. AMY MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0283011
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355266
—
NY
01
—
5361
SIDNEY HILLMAN
NY
01
—
9314146
IHA
NY
01
—
FA0501
PREFERRED CARE
NY
01
—
P0140059WH
BLUE CHOICE
NY
Enumeration date
09/22/2006
Last updated
05/19/2016
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