Individual
MAGDALENA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-2959
Mailing address
37 W 72ND ST APT 1C, NEW YORK, NY 10023-3412
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
640045
NY
Other
Enumeration date
10/03/2017
Last updated
12/15/2020
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