Lopez, Ralph Ivan

Lopez, Ralph Ivan is an sole proprietor health care provider with primary practice located at 418 E 71St St Ground Floor, New York NY 10021-4892. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Lopez, Ralph Ivan can be contacted via phone (212) 772-8989.

Contact Information

Primary practice address
418 E 71St St Ground Floor New York NY 10021-4892
Fax: (212) 772-1804
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 101469 New York

Profile Details

NPI number 1356402770
LBN Legal business name Lopez, Ralph Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1356402770 NPPES
New York Other 101469 MEDICAL LICENSE

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