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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.

Location: 301 E Main St, Bay Shore, NY, 11706-8408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Bay Shore
State
New York
Zip
11706-8408
Phone Number
631-968-3000
Fax Number
person
Provider Business Mailing Address Details
Address
301 E Main St
City
Bay Shore
State
New York
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
363AS0400X
License No.
(New York)
Definition
Definition to come...
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