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Organization

JOSEPH I. LOPEZ, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH LOPEZ (PRESIDENT)
(516) 671-4110
Entity
Organization

Contact information

Practice address
10 MEDICAL PLZ, SUITE 103, GLEN COVE, NY 11542-2101
(516) 671-4110
(516) 759-4069
Mailing address
10 MEDICAL PLZ, SUITE 103, GLEN COVE, NY 11542-2101
(516) 671-4110
(516) 759-4069

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1464481
NY

Other

Enumeration date
02/27/2012
Last updated
02/27/2012
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