person
Ingrid Lopez
Surgical Physician Assistant in Bay Shore, New York
NPI 1740964600

Ingrid Lopez is a Surgical Physician Assistant based in Bay Shore, NY and is specialized in Surgical. Ingrid Lopez practices in Bay Shore, NY. The NPI Number for Ingrid Lopez is 1740964600 and holds a License No. (New York).

The current practice location address for Ingrid Lopez is 301 E Main St, Bay Shore, NY and can be reached out via phone at 631-968-3000. You can also correspond with Ingrid Lopez through the mailing address at 301 E MAIN ST, BAY SHORE, NY - 11706-8408 (mailing address contact number: 631-968-3000).

Location: 301 E Main St, Bay Shore, NY, 11706-8408
person
Provider Profile Details
NPI Number
1740964600
Provider Name
Ingrid Lopez
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 E Main St, Bay Shore, NY, 11706-8408
Phone Number
631-968-3000
Fax Number
Provider Enumeration Date
06/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 E Main St
City
State
Zip
11706-8408
Phone Number
631-968-3000
Fax Number
person
Provider Business Mailing Address Details
Address
301 E Main St
City
State
Zip
11706-8408
Phone Number
631-968-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
(New York)
Definition
Definition to come...
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