Individual
MR. JOHN D LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, MS
Contact information
Practice address
974 E 55TH ST, BROOKLYN, NY 11234-1708
(718) 614-9221
Mailing address
974 E 55TH ST, BROOKLYN, NY 11234-1708
(718) 614-9221
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
07/29/2013
Last updated
06/30/2014
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