Individual
PRISCILLA C LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER CASAC #34980
Contact information
Practice address
3584 JEROME AVE, BRONX, NY 10467-1006
(653) 153-7718
(699) 371-8228
Mailing address
131 SAINT NICHOLAS AVE APT 2D, NEW YORK, NY 10026-2147
(646) 270-7141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
211110743
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11681
—
NY
Enumeration date
12/12/2019
Last updated
05/16/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us