Individual
DORA ELENA LOPEZ-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
90 HENRY ST, INWOOD, NY 11096-2335
(516) 239-2182
(718) 327-3132
Mailing address
90 HENRY ST, INWOOD, NY 11096-2335
(516) 239-2182
(718) 327-3132
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
086504-1
NY
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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