Wanda Elise Lopez | New York, NY • PECOS Search

Wanda Elise Lopez

Chiropractor

Chiropractic Providers

120 E 56th St, Suite 830, New York, NY 10022-3607

PECOS Enrollment

Based on the most recent information from CMS, provider Wanda Elise Lopez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1619091204
Provider Type
Individual
Full Name
Lopez, Wanda Elise
Title
Dr.
Credential
DC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/19/2007
Last Updated
7/8/2007

Contact Information

Practice Location

120 E 56th St, Suite 830, New York, NY 10022-3607

Unlisted Fax

Mailing Location

120 E 56th St, Suite 830, New York, NY 10022-3607

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License X6009 New York