Individual
VIVIAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8853
Mailing address
977 48TH ST, BROOKLYN, NY 11219-2919
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
429001
NY
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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