Individual
MR. NICOLAS LOPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4555 46TH ST, WOODSIDE, NY 11377-5227
(718) 392-1244
Mailing address
4555 46TH ST, WOODSIDE, NY 11377-5227
(718) 392-1244
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005711
NY
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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