Lopez, Alfredo

Lopez, Alfredo is an individual health care provider with primary practice located at 516 Prospect Ave , Syracuse NY 13208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lopez, Alfredo can be contacted via phone (315) 703-5200.

Contact Information

Primary practice address
516 Prospect Ave Syracuse NY 13208
Phone: (315) 703-5200
Fax: (315) 703-5201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2021231 New York

Profile Details

NPI number 1033188115
LBN Legal business name Lopez, Alfredo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 3rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033188115 NPPES
New York MEDICAID 01665049

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