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Jessica Lopez
Pediatric Skilled Nursing Facility in Brentwood, New York
NPI 1992152060

Jessica Lopez is a Pediatric Skilled Nursing Facility based in Brentwood, NY and is specialized in Nursing Care, Pediatric. Jessica Lopez practices in Brentwood, NY. The NPI Number for Jessica Lopez is 1992152060 and holds a License No. (New York).

The current practice location address for Jessica Lopez is 27 Wyndham Rd, Brentwood, NY and can be reached out via phone at 631-317-7709.

Location: 27 Wyndham Rd, Brentwood, NY, 11717-2336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992152060
Provider Name
Jessica Lopez
Credential
Provider Entity Type
Individual
Gender
Female
Address
27 Wyndham Rd, Brentwood, NY, 11717-2336
Phone Number
631-317-7709
Fax Number
Provider Enumeration Date
05/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
27 Wyndham Rd
City
Brentwood
State
New York
Zip
11717-2336
Phone Number
631-317-7709
Fax Number
person
Provider Business Mailing Address Details
Address
27 Wyndham Rd
City
Brentwood
State
New York
Zip
11717-2336
Phone Number
631-317-7709
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
()
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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