Individual
OLIVIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 SIXTH STREET, THE METHODIST HOSPITAL, BROOKLYN, NY 11215
(718) 780-3159
(610) 617-6280
Mailing address
PO BOX 681 - VAN BRUNT STATION, PARK SLOPE EMERGENCY PHYSICIAN SERVICES PC, BROOKLYN, NY 11215
(800) 666-2455
(610) 617-6280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
206364
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01951028
—
NY
Enumeration date
06/07/2006
Last updated
12/29/2022
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