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1730649724
MIRNA LOPEZ
MANHASSET, NY
NPI
1730649724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 023347)
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
Mrs. MIRNA LOPEZ
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 516-562-0100
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Mailing Address
Mrs. MIRNA LOPEZ
15 POE LN
BRENTWOOD, NY 11717-6904
Phone number:
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