National Provider Identifier

Andre L Lopez, MD

Andre L Lopez, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Williamsville, NY and a listed phone number of (716) 630-1465.

NPI 1568455657Williamsville, NYFamily Medicine Physician

Profile Overview

NPI
1568455657
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
August 24, 2005
Last Updated
December 20, 2021

Practice Location

  • 325 Essjay RD
  • Suite 110
  • Williamsville, NY 14221-8243

Phone: (716) 630-1465

Mailing Address

  • 425 Essjay RD Ste 170
  • Williamsville, NY 14221-8235

Specialties

  • Family Medicine Physician (207Q00000X)

Endpoints

  • production@direct.buffalomedicalgroup.com

    Direct Messaging Address | Buffalo Medical Group, P.C. | Williamsville, NY 14221

Full Record
NPI
1568455657
Entity Type
Individual
Last Name
Lopez
First Name
Andre
Middle Name
L
Name Prefix
Dr.
Credential
MD
Mailing Street Address
425 Essjay RD Ste 170
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-8235
Mailing Country
US
Mailing Phone
(716) 630-1219
Mailing Fax
(716) 817-1726
Practice Street Address
325 Essjay RD
Practice Address Line 2
Suite 110
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-8243
Practice Country
US
Practice Phone
(716) 630-1465
Practice Fax
(716) 250-5989
Enumeration Date
August 24, 2005
Last Updated
December 20, 2021
Sex
Male
Sole Proprietor
No
Certification Date
December 20, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)
Other Identifiers
0114262 (NY, Iha), 0281730 (NY), 16-1000580 (NY, Empire), 16-1000580 (NY, North American Preferred), 000593559003 (NY, Health Now), 00028086801 (NY, Univera)