National Provider Identifier
Christian Josue Lopez, 175T00000X
Christian Josue Lopez, 175T00000X is listed in the NPPES registry with a primary specialty of Peer Specialist in Kenmore, NY and a listed phone number of (716) 566-7771.
Profile Overview
- NPI
- 1316509284
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- July 01, 2019
- Last Updated
- July 01, 2019
Practice Location
- 262 Woodward Ave
- Kenmore, NY 14217-1539
Phone: (716) 566-7771
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1316509284
- Entity Type
- Individual
- Last Name
- Lopez
- First Name
- Christian
- Middle Name
- Josue
- Name Prefix
- Mr.
- Credential
- 175T00000X
- Mailing Street Address
- 262 Woodward Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1539
- Mailing Country
- US
- Mailing Phone
- (716) 566-7771
- Practice Street Address
- 262 Woodward Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1539
- Practice Country
- US
- Practice Phone
- (716) 566-7771
- Enumeration Date
- July 01, 2019
- Last Updated
- July 01, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)