Individual
DR. ANDRE L LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 ESSJAY RD, SUITE 110, WILLIAMSVILLE, NY 14221-8243
(716) 630-1465
(716) 250-5989
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
243581-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028086801
UNIVERA
NY
01
—
000593559003
HEALTH NOW
NY
01
—
0114262
IHA
NY
05
—
0281730
—
NY
01
—
16-1000580
EMPIRE
NY
Enumeration date
08/24/2005
Last updated
12/20/2021
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