Individual
DR. JOSEPH I LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
86 FOREST AVE STE 1-C, GLEN COVE, NY 11542-2194
(516) 671-4110
(517) 759-4069
Mailing address
86 FOREST AVE STE 1-C, GLEN COVE, NY 11542-2194
(516) 671-4110
(517) 759-4069
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
146448
NY
Other
Enumeration date
11/10/2006
Last updated
02/28/2024
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