Lopez, Gustavo

Lopez, Gustavo is an individual health care provider with primary practice located at 256 Washington St , Mount Vernon NY 10553-1052. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Lopez, Gustavo can be contacted via phone (914) 613-0700.

Contact Information

Primary practice address
256 Washington St Mount Vernon NY 10553-1052
Fax: (914) 664-8189
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X New York

Profile Details

NPI number 1679082242
LBN Legal business name Lopez, Gustavo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2017
Last updated Sep 27th, 2017 - about 8 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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