Individual ProviderNicole LopezPsychologistBehavioral Health & Social Service ProvidersPractice Address406 10th Ave, 9th Floor, New York, NY 10001-2320(212) 273-6537(646) 515-1113PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Lopez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1316292055Provider TypeIndividualFull NameLopez, NicoleTitleMs.CredentialM.S.ED.GenderFemaleSole ProprietorNoEnumeration Date7/18/2012Last Updated7/18/2012Contact InformationPractice LocationPractice Address406 10th Ave, 9th Floor, New York, NY 10001-2320Phone(212) 273-6537FaxUnlisted FaxMailing LocationMailing Address41-44 44th St Apt# F-12, Sunnyside, NY 11104-2259Phone(646) 515-1113FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103TS0200XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer