Organization
ELEVATED PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADILIZ LOPEZ FNP-BC (MANAGING MEMBER)
(347) 238-1550
Entity
Organization
Contact information
Practice address
11805 METROPOLITAN AVE, KEW GARDENS, NY 11415-2020
(347) 238-1550
Mailing address
11805 METROPOLITAN AVE, KEW GARDENS, NY 11415-2020
(347) 238-1550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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