| Jefferson Gonzalo Lopez, PA | |
|
225 Eastview Dr, Central Islip, NY 11722-4539 | |
| (631) 665-1600 | |
| Not Available |
| Full Name | Jefferson Gonzalo Lopez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 225 Eastview Dr, Central Islip, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407619455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Gonzalo Lopez, PA 225 Eastview Dr, Central Islip, NY 11722-4539 Ph: (631) 665-1600 | Jefferson Gonzalo Lopez, PA 225 Eastview Dr, Central Islip, NY 11722-4539 Ph: (631) 665-1600 |
Andrea Martinez Villalobos, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 159 Carleton Ave, Central Islip, NY 11722 Phone: 631-650-2510 Fax: 631-650-0497 | |
Alexandra Leichter, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 631-761-7010 | |
Albert Lee, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 631-665-1600 | |
Raazia Waqar Khan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 631-665-1600 | |
Alexis Chase, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 631-665-1600 | |
Fruma Zlatopolsky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 773-474-0995 | |
Sophia Hannah Eliassi, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 516-996-9798 |