Individual
OLIVER LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RDN
Contact information
Practice address
407 WOODBINE ST, BROOKLYN, NY 11237-5916
(646) 406-4806
Mailing address
407 WOODBINE ST, BROOKLYN, NY 11237-5916
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86046552
NY
Other
Enumeration date
03/21/2021
Last updated
03/21/2021
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