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Sebastian Lopez, M.D

Family Medicine in Bronx, NY. Individual provider (NPI-1).

NPI number1679460331
StatusActive
Last updated in NPPESJun 23, 2025

Details

NPI
1679460331
Entity type
Individual (NPI-1)
Name
Sebastian Lopez
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
Jun 23, 2025
Certification date
Jun 23, 2025
Last updated
Jun 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine1801131123NYYes

Practice location

1276 Fulton Ave
Bronx, NY 10456-3467

Phone 718-901-8918

Mailing address

1276 Fulton Ave
Bronx, NY 10456-3467

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