Individual
JEMARY DOLORES LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 RIVERDALE AVE STE 10, BRONX, NY 10463-4903
(929) 447-5262
(929) 447-5260
Mailing address
1 RIVERDALE AVE STE 10, BRONX, NY 10463-4903
(929) 447-5262
(929) 447-5260
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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