Individual
DR. CLARK R. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 PLAZA ST E, 1-O, BROOKLYN, NY 11238-5040
(718) 783-3919
(718) 398-0975
Mailing address
408 HUNT LN, MANHASSET, NY 11030-2637
(516) 627-3354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
117032
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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