Lopez, Julian

Lopez, Julian is an individual health care provider with primary practice located at 299 Hallock Ave , Port Jefferson Station NY 11776-1217. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Lopez, Julian can be contacted via phone (631) 473-4284.

Contact Information

Primary practice address
299 Hallock Ave Port Jefferson Station NY 11776-1217
Phone: (631) 473-4284
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1467340505
LBN Legal business name Lopez, Julian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2025
Last updated Jun 26th, 2025 - about last year

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.

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