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1760191779
IVANA ROSA LOPEZ
BROOKLYN, NY
NPI
1760191779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 029739)
Enumeration Date
2022-11-17
Last Update Date
2023-07-12
Business Address
IVANA ROSA LOPEZ PA
506 6TH ST
BROOKLYN, NY 11215-3609
Phone number: 718-780-3000
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Mailing Address
IVANA ROSA LOPEZ PA
182 FROST ST
BROOKLYN, NY 11211-1903
Phone number:
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