Organization
CITY PRO GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISELA LOPEZ MA CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(917) 822-8630
Entity
Organization
Contact information
Practice address
1240 HOBART AVE, UNIT #2, BRONX, NY 10461-6138
(917) 822-8630
Mailing address
1240 HOBART AVE, UNIT #2, BRONX, NY 10461-6138
(917) 822-8630
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
023698
NY
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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