Individual
MELISSA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(516) 256-6000
Mailing address
8106 13TH AVE, BROOKLYN, NY 11228-3052
(732) 814-1550
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F30952601
NY
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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