Individual provider · Type 1 NPI

Anabell Marina Lopez Plaza

Surgical Physician Assistant · Bay Shore, NY

NPI number 1376177527 Active

Practice location

12 Berrywood Ct
Bay Shore, NY 11706-2058

Call (631) 882-3434 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X024737 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1376177527

Anabell Marina Lopez Plaza's National Provider Identifier is 1376177527, issued on Feb 26, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bay Shore, NY. The record was last updated on Feb 26, 2020.