Individual
MS. CARMEN M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
339 HICKS ST, EMERGENCY DEPARTMENT, BROOKLYN, NY 11201-5509
(718) 780-1961
Mailing address
47 KINGSTON ST, NEW HYDE PARK, NY 11040-3809
(516) 328-6307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8106
NY
Other
Enumeration date
04/14/2006
Last updated
08/09/2007
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