Lopez, Gonzalo L
Lopez, Gonzalo L is an individual health care provider with primary practice located at 365 West 25Th St Ground Floor, New York NY 10001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lopez, Gonzalo L can be contacted via phone (212) 243-1671.Contact Information
Primary practice address
365 West 25Th St Ground Floor
New York NY 10001
Phone: (212) 243-1671
Fax: (212) 243-0084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 105371 | New York |
Profile Details
| NPI number | 1720047293 |
|---|---|
| LBN Legal business name | Lopez, Gonzalo L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720047293 | NPPES |
| New York | MEDICAID | 00183986 |
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