Individual
MARLON LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7649 HEWLETT ST, NEW HYDE PARK, NY 11040-1429
(212) 388-0767
(212) 388-0767
Mailing address
6618 53RD RD, MASPETH, NY 11378-1708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014580
NY
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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