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NANCY LOPEZ, PA-C – NPI #1669453031
Surgical

NPI Profile for NANCY LOPEZ in MIDDLETOWN, NY.

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Contact Information

NANCY LOPEZ, PA-C
236 CRYSTAL RUN ROAD
STE 1
MIDDLETOWN, NY  10940
 Phone: 845-703-6999
 Fax: 845-703-6297
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgical

 363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NANCY LOPEZ · (Female)

NPI # 1669453031
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/10/2005
Last updated 12/08/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 0010-06595
  • NY License # 010394
  • NY Medicaid 02716833
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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