Individual
DR. HERMES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 NORTHERN BLVD STE 205, GREENVALE, NY 11548-1220
(516) 767-7771
(516) 767-7765
Mailing address
2200 NORTHERN BLVD STE 205, GREENVALE, NY 11548-1220
(516) 767-7771
(516) 767-7765
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
251529
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04389680
—
NY
01
—
112814003
TAX ID
—
Enumeration date
09/10/2007
Last updated
03/21/2023
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