THILO ERNESTO LOPEZ

BRONX, NY
NPI1326621608
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2021-05-04
Last Update Date2021-05-04
Business Address
THILO ERNESTO LOPEZ Surgical Assistant
109 E 153RD ST APT 30E
BRONX, NY 10451-5262
Phone number: 347-391-9503
Mailing Address
THILO ERNESTO LOPEZ Surgical Assistant
435 FORT WASHINGTON AVE APT 1H
NEW YORK, NY 10033-3527
Phone number:
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