Individual
ERICA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 WASHINGTON AVE, ROOSEVELT, NY 11575-1845
(516) 378-2000
Mailing address
838 NORTHERN PKWY, UNIONDALE, NY 11553-3538
(516) 859-4026
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014429
NY
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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