Individual
MARGARITA MERCEDES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 GLEN COVE AVE, GLEN COVE, NY 11542-3438
(516) 622-8888
Mailing address
1412 133RD PL, COLLEGE POINT, NY 11356-2042
(917) 703-4926
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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