Individual
BRIANNA KATE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 RIVERFRONT CTR, AMSTERDAM, NY 12010-4620
(518) 843-0020
(518) 843-0023
Mailing address
1700 RIVERFRONT CTR, AMSTERDAM, NY 12010-4620
(518) 843-0020
(518) 843-0023
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
020964
NY
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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