Individual
ANTHONY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
585 SCHENECTADY AVE, MANAGE CARE DEPARTMENT BLUMBERG BUILDING 6TH FLOOR, BROOKLYN, NY 11203-1809
(718) 604-5239
(718) 604-5527
Mailing address
585 SCHENECTADY AVE, MANAGE CARE DEPARTMENT BLUMBERG BUILDING 6TH FLOOR, BROOKLYN, NY 11203-1809
(718) 604-5239
(718) 604-5527
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012477
NY
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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