Search › New York › 207R00000X
Tatiana Gomez Lopez
NPI 1578947750 · on the registry since 2015
Practice
- Address
- 10211 Roosevelt Ave # 4
Corona, NY 11368 - Phone
- (718) 898-1386
- Fax
- (718) 898-1093
Additional practice sites
- 760 Broadway, Brooklyn, NY
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York