Individual
MASSIEL ESTEVEZ-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 NORTH ST, WHITE PLAINS, NY 10605-2209
(914) 597-4055
Mailing address
78 S REGENT ST, APT 2, PORT CHESTER, NY 10573-3563
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
707746
NY
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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