Individual
DR. ALONSO FERNANDO LOPEZ HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1889
(844) 692-4692
Mailing address
204 CENTRE ISLAND RD, OYSTER BAY, NY 11771-4908
(949) 426-2732
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
03/22/2025
Last updated
04/01/2025
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