Individual
MS. EDWENDY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 COOLIDGE ST, HAVERSTRAW, NY 10927-1033
(845) 531-8875
Mailing address
144 COOLIDGE ST, HAVERSTRAW, NY 10927-1033
(845) 531-8875
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MO
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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