Individual
CECILIA AMANDA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CCRN
Contact information
Practice address
560 W 168TH ST, NEW YORK, NY 10032-3917
(212) 305-4318
Mailing address
209 W 80TH ST APT 3C, NEW YORK, NY 10024-7067
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1806106
NY
Other
Enumeration date
06/11/2022
Last updated
06/11/2022
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