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Individual

CHRISTIAN JOHN LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040
(718) 470-7000
Mailing address
2936 AVENUE W APT 6D, BROOKLYN, NY 11229-5323
(718) 877-2883

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
627234
NY
163W00000X
Registered Nurse
R251957
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
627234
NY
367500000X
Certified Registered Nurse Anesthetist
R251957
MD

Other

Enumeration date
07/18/2018
Last updated
04/29/2026
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