Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 160819-1 | NY |
NPI | 1235213844 |
---|---|
Provider Name | Dr. Margarita Lopez |
First Address | North Baldwin, NY 11510-1345 |
Second Address | Arverne, NY 11692-1409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 28/02/2013 |