Individual
MR. DOMINIQUE ANTHONY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2 WILLIAM ST STE 101, WHITE PLAINS, NY 10601-1903
(914) 328-3750
(914) 328-6945
Mailing address
2 WILLIAM ST STE 101, WHITE PLAINS, NY 10601-1903
(914) 328-3750
(914) 328-6945
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011850-1
NY
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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