Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 145997 | NY |
N | 207VG0400X | Gynecologist | 145997 | NY |
N | 207VX0000X | Obstetrician | 145997 | NY |
NPI | 1417970112 |
---|---|
Provider Name | Dr. John J Lopes |
First Address | Oakdale, NY 11769-1434 |
Second Address | Oakdale, NY 11769-1434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C04656 | (02) | NY |