Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFERSON GONZALO LOPEZ, PA
Active Sole ProprietorJEFFERSON GONZALO LOPEZ, PA is a Physician Assistant healthcare provider located in CENTRAL ISLIP, New York. NPI 1407619455 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CENTRAL ISLIP, NY
Registration Details
- NPI Number
- 1407619455
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2024 (2.5237644594701 yrs)
- Last Updated
- Feb 2, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
225 EASTVIEW DRCENTRAL ISLIP, NY, 117224539Browse NY providers · Browse ZIP 11722
- Phone
- 6316651600
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CENTRAL ISLIP, NY
| Name | Credential | NPI |
|---|---|---|
| ANDREA MARTINEZ VILLALOBOS | RPA-C | 1003280041 |
| CHRISTINA DIMITRA VAFIADIS | — | 1578189213 |
| CHERYL BLAIVAS | PA | 1437817319 |
| LAUREN MONIQUE ALBURG | — | 1518614049 |
| ALEXUS A HADDAD | PA | 1568183416 |
| ALBERT LEE | PA | 1184317471 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.