Organization
CLARENDON MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO LOPEZ MD (MEDICAL DIRECTOR)
(718) 469-7363
Entity
Organization
Contact information
Practice address
2814 CLARENDON RD, BROOKLYN, NY 11226-6318
(718) 469-7363
(718) 469-7551
Mailing address
2814 CLARENDON RD, BROOKLYN, NY 11226-6318
(718) 469-7363
(718) 469-7551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
123637
NY
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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