Individual
AMYANERYS M LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
69 JONES RD, WARWICK, NY 10990-2830
(347) 241-1531
Mailing address
69 JONES RD, WARWICK, NY 10990-2830
(347) 241-1531
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F356225-01
NY
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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