Individual
DOELIS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 W 170TH ST APT 5C, NEW YORK, NY 10032-3239
(917) 207-1123
Mailing address
605 W 170TH ST APT 5C, NEW YORK, NY 10032-3239
(917) 207-1123
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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