Most Relevant Information
Provider Data
| NPI Number: | 1003598418 |
| Provider Name: | RONALD AMAYA LOPEZ DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/04/2023 |
| Last Updated: | 08/04/2023 |
Provider Practice Location
322 W MAIN ST
PATCHOGUE
NY
117723008
Practice Location Phone/Fax
| Phone: | 6312284977 |
| Fax: |
Provider Mailing Location
131 CONNECTICUT AVE
BAY SHORE
NY
117063350
Provider Mailing Phone/Fax
| Phone: | 6314049553 |
| Fax: |