Individual
DAISY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1841 PARK AVE, NEW YORK, NY 10035-1316
(646) 459-6091
Mailing address
3960 54TH ST APT 1N, WOODSIDE, NY 11377-4202
(917) 623-7640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13-3303089
—
NY
Enumeration date
03/26/2018
Last updated
10/26/2023
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