Individual provider · Type 1 NPI

Victor Lopez Jr., DO

Student in an Organized Health Care Education/Training Program · Far Rockaway, NY

NPI number 1104034537 Active

Practice location

5115 Beach Channel Dr
Far Rockaway, NY 11691-1042

Call (718) 734-3020 Map

Mailing address

11817 Union Tpke Apt 3B
Forest Hills, NY 11375-6101

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104034537

Victor Lopez Jr., DO's National Provider Identifier is 1104034537, issued on May 18, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Far Rockaway, NY. The record was last updated on Jul 8, 2007.