Organization
GREGORY M LOPEZ ODPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY M LOPEZ OD (PRES)
(718) 639-9225
Entity
Organization
Contact information
Practice address
4028 82ND ST, ELMHURST, NY 11373-1305
(718) 639-9225
Mailing address
4028 82ND ST, ELMHURST, NY 11373-1305
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004048
NY
Other
Enumeration date
04/20/2007
Last updated
04/17/2008
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