Lopez, Andre L

Lopez, Andre L is an individual health care provider with primary practice located at 325 Essjay Rd Suite 110, Williamsville NY 14221-8243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lopez, Andre L can be contacted via phone (716) 630-1465.

Contact Information

Primary practice address
325 Essjay Rd Suite 110 Williamsville NY 14221-8243
Phone: (716) 630-1465
Fax: (716) 250-5989
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 243581-1 New York

Profile Details

NPI number 1568455657
LBN Legal business name Lopez, Andre L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Dec 20th, 2021 - about 4 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 1568455657 NPPES
New York Other 0114262 IHA
New York MEDICAID 0281730 IHA
New York Other 16-1000580 IHA
New York Other 16-1000580 IHA
New York Other 000593559003 IHA
New York Other 00028086801 IHA

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