Individual
NICOLE MARIE LOPEZ-CANIZARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 5TH AVE STE 308, NEW YORK, NY 10016-8728
(646) 648-2307
Mailing address
230 20TH ST APT 2F, BROOKLYN, NY 11232-0695
(646) 648-2307
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
322497
NY
Other
Enumeration date
07/26/2018
Last updated
11/27/2023
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