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Individual

CONRAD D LOPEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
7241 GRAND AVE, MASPETH, NY 11378-1532
(718) 457-5800
Mailing address
8685 102ND ST, RICHMOND HILL, NY 11418-2033
(718) 846-5493

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024920
NY

Other

Enumeration date
03/07/2007
Last updated
04/15/2013
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