Provider Demographics
NPI:1215349931
Name:LOPEZ PHYSICAL MEDICINE CONSULTANCY, PLLC
Entity type:Organization
Organization Name:LOPEZ PHYSICAL MEDICINE CONSULTANCY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-273-4022
Mailing Address - Street 1:415 CENTRAL PARK W
Mailing Address - Street 2:#8C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-4856
Mailing Address - Country:US
Mailing Address - Phone:917-273-4022
Mailing Address - Fax:
Practice Address - Street 1:415 CENTRAL PARK W
Practice Address - Street 2:#8C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-4856
Practice Address - Country:US
Practice Address - Phone:917-273-4022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-29
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty