Organization
DEER PARK MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROBERTO LOPEZ (OFFICE MANAGER)
(631) 302-5700
Entity
Organization
Contact information
Practice address
2103 DEER PARK AVE, DEER PARK, NY 11729-1317
(631) 302-5700
Mailing address
2103 DEER PARK AVE, DEER PARK, NY 11729-1317
(631) 302-5700
(631) 918-5724
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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