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1386614428
ANNA LIZZA LOPEZ SIASOCO
PORT WASHINGTON, NY
NPI
1386614428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 236459)
Enumeration Date
2006-01-23
Last Update Date
2014-09-12
Business Address
Dr. ANNA LIZZA LOPEZ SIASOCO M.D.
415 PORT WASHINGTON BLVD
PORT WASHINGTON, NY 11050-4201
Phone number: 516-883-0218
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Mailing Address
Dr. ANNA LIZZA LOPEZ SIASOCO M.D.
415 PORT WASHINGTON BLVD
PORT WASHINGTON, NY 11050-4201
Phone number: 516-883-0218
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