Individual
MARIDELI M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7270 BUCKLEY RD, NORTH SYRACUSE, NY 13212
(315) 452-0485
(315) 452-0491
Mailing address
PO BOX 176, MANLIUS, NY 13104
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
215746
NY
Other
Enumeration date
02/09/2007
Last updated
07/18/2013
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