Individual provider · Type 1 NPI
Jessica Lopez
Pediatric Skilled Nursing Facility · Brentwood, NY
NPI number
1992152060
Active
Practice location
27 Wyndham Rd
Brentwood, NY 11717-2336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | None listed |
Pediatric Skilled Nursing Facility: 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.
About NPI 1992152060
Jessica Lopez's National Provider Identifier is 1992152060, issued on May 18, 2016. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Brentwood, NY. The record was last updated on May 18, 2016.