Dr Sonia J Lopez, MD | |
13802 Queens Blvd, Jamaica, NY 11435-2642 | |
(718) 298-5100 | |
(718) 298-5130 |
Full Name | Dr Sonia J Lopez |
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Gender | Female |
Speciality | Family Medicine - Addiction Medicine |
Location | 13802 Queens Blvd, Jamaica, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134281975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0401X | Family Medicine - Addiction Medicine | 157785 (New York) | Primary |
Entity Name | Damian Family Care Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508955592 PECOS PAC ID: 6507849882 Enrollment ID: O20151015001737 |
Mailing Address | Practice Location Address |
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Dr Sonia J Lopez, MD 13750 Jamaica Ave, Jamaica, NY 11435-3610 Ph: (728) 298-5100 | Dr Sonia J Lopez, MD 13802 Queens Blvd, Jamaica, NY 11435-2642 Ph: (718) 298-5100 |
Kristen Denise Manter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9704 Sutphin Blvd, Jamaica, NY 11435 Phone: 718-657-7088 Fax: 718-657-7092 | |
Dr. Patricia Wong Hermogenes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13701 83rd Ave, 1b, Jamaica, NY 11435 Phone: 718-847-3501 Fax: 718-847-4706 | |
Dr. Charles Pouponneau, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 147-20 Archer Avenue, Jamaica, NY 11435 Phone: 718-291-1888 Fax: 718-291-0557 | |
Dr. Sophia Streete Smalls, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11513a Merrick Blvd, Jamaica, NY 11434 Phone: 718-558-8998 Fax: 718-558-8999 | |
Dr. Mallik Kalepu, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 11439 Sutphin Blvd, Jamaica, NY 11434 Phone: 718-945-7150 Fax: 718-945-2596 | |
Mrs. Iffat Apa Sadique, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16806 Hillside Ave, Jamaica, NY 11432 Phone: 718-739-7400 Fax: 718-934-1449 |