Individual
ANNIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 MASON AVE, STATEN ISLAND, NY 10305
(718) 226-9000
Mailing address
2740 CROPSEY AVE APT 8D, BROOKLYN, NY 11214-6827
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026709
NY
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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