Individual provider · Type 1 NPI

Ingrid Lopez

Surgical Physician Assistant · Bay Shore, NY

NPI number 1740964600 Active

Practice location

301 E Main St
Bay Shore, NY 11706-8408

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1740964600

Ingrid Lopez's National Provider Identifier is 1740964600, issued on Jun 12, 2023. 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 Jun 12, 2023.