Individual
ALEXANDRA LOPEZ-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 CAPT SHANKEY DR, GARNERVILLE, NY 10923-1337
(347) 219-1088
(646) 829-1442
Mailing address
100 CAPT SHANKEY DR, GARNERVILLE, NY 10923-1337
(347) 219-1088
(646) 829-1442
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
500678
NY
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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