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Individual

ANNE LOPEZ-VITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
3117 BUHRE AVE, BRONX, NY 10461-4738
(718) 822-2281
(718) 597-8485
Mailing address
3117 BUHRE AVE, BRONX, NY 10461-4738
(718) 822-2281
(718) 597-8485

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
010592
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Q04U91
EMPIRE BC/BS #
NY
Enumeration date
10/27/2006
Last updated
07/09/2007
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