| Mr Fred Lopez, LCSW | |
|
547 New York Ave, North Baldwin, NY 11510-2605 | |
| (516) 546-2975 | |
| Not Available |
| Full Name | Mr Fred Lopez |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 547 New York Ave, North Baldwin, 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 |
|---|---|---|---|
| 1164667259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R043649-1 (New York) | Primary |
| Entity Name | Harmony Health Care Long Island |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336669670 PECOS PAC ID: 5991970535 Enrollment ID: O20111212000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Fred Lopez, LCSW 380 Nassau Rd, Roosevelt, NY 11575-1343 Ph: (516) 546-2975 | Mr Fred Lopez, LCSW 547 New York Ave, North Baldwin, NY 11510-2605 Ph: (516) 546-2975 |
Marjorie Vezer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1976 Grand Ave, North Baldwin, NY 11510 Phone: 516-855-1800 Fax: 516-855-1811 | |
Christene A. Tucker, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1883 Twain St, North Baldwin, NY 11510 Phone: 516-849-5644 | |
Jeffrey Savoy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 696 Baldwin Ave, North Baldwin, NY 11510 Phone: 516-476-0428 Fax: 516-867-2694 | |
Mrs. Bernanie Marie Desvarieux, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1587 Decatur St, North Baldwin, NY 11510 Phone: 516-632-8395 Fax: 516-632-8395 | |
Ms. Toby Ganeles, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 775 Brooklyn Ave, North Baldwin, NY 11510 Phone: 516-331-1521 | |
Ricky Demirakos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1976 Grand Ave, North Baldwin, NY 11510 Phone: 516-740-5630 Fax: 516-855-1811 |