Individual
STANLEY M. LOPEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC II
Contact information
Practice address
214 W 116TH ST, NEW YORK, NY 10026-2494
(212) 602-1400
(212) 602-1895
Mailing address
3985 GOUVERNEUR AVE, BRONX, NY 10463-2939
(917) 650-7032
(212) 602-1895
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8100
NY
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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