Individual
CINTHYA GABRIELA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4624 BROADWAY, NEW YORK, NY 10040-2102
(347) 780-1578
Mailing address
4624 BROADWAY, NEW YORK, NY 10040-2102
(347) 780-1578
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/22/2016
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