IndividualActive
Jessica Lopez
NPI 1992152060 · Pediatric Skilled Nursing Facility · Brentwood, NY
Provider details
- NPI number
- 1992152060
- Entity type
- Individual
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
27 Wyndham Rd
Brentwood, NY 11717-2336
Phone: (631) 317-7709
Approximate (ZIP-level) locationGet directions
Mailing address
27 Wyndham Rd
Brentwood, NY 11717-2336
Registry dates
- Enumerated
- 2016-05-18
- Last updated
- 2016-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.