Individual
CATHERINE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
500 19TH ST, BROOKLYN, NY 11215-6204
(718) 237-8833
Mailing address
7006 CENTRAL AVE, GLENDALE, NY 11385-7317
(718) 456-0094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
688536
NY
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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