Lopez, Manuel
Lopez, Manuel is an sole proprietor health care provider with primary practice located at 9033 Springfield Blvd , Queens Village NY 11428-1352. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lopez, Manuel can be contacted via phone (718) 464-5225.Contact Information
Primary practice address
9033 Springfield Blvd
Queens Village NY 11428-1352
Phone: (718) 464-5225
Fax: (718) 740-8838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 213205 | New York |
Profile Details
| NPI number | 1629176300 |
|---|---|
| LBN Legal business name | Lopez, Manuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Apr 26th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629176300 | NPPES |
| New York | MEDICAID | 02282511 |
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