Lopez, Mary G.

Lopez, Mary G. is an individual health care provider with primary practice located at 554 Larkfield Rd Suite 105, East Northport NY 11731-4205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Lopez, Mary G. can be contacted via phone (631) 368-3800.

Contact Information

Primary practice address
554 Larkfield Rd Suite 105 East Northport NY 11731-4205
Fax: (631) 368-3802
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F420526 New York

Profile Details

NPI number 1376701821
LBN Legal business name Lopez, Mary G.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2008
Last updated May 30th, 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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