Individual
MR. ALEXANDER LOPEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
20 PEACHTREE CT, #105, HOLBROOK, NY 11741-4616
(631) 467-3700
(631) 467-0928
Mailing address
750 DURHAM RD, SAYVILLE, NY 11782-3359
(631) 750-3856
(631) 467-0928
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
013095-1
NY
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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