Individual
CESAR V LOPEZ ESCOLASTICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2940 GRAND CONCOURSE STE 1-DE, BRONX, NY 10458-2611
(347) 577-5844
Mailing address
2940 GRAND CONCOURSE STE 1-DE, BRONX, NY 10458-2611
(347) 577-5844
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
096702-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3175353
—
NY
Enumeration date
04/15/2019
Last updated
04/15/2019
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