MEDICARE: DR. CLARK R. LOPEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	117032	NY

General Provider Information

NPI Number	:	1619016011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLARK R. LOPEZ MD

Provider Business Mailing Address
First Line	:	408 HUNT LN
Second Line	:
City	:	MANHASSET
State	:	NY
Zip	:	11030-2637
Country	:	US
Telephone Number	:	516-627-3354
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 PLAZA ST E
Second Line	:	1-O
City	:	BROOKLYN
State	:	NY
Zip	:	11238-5040
Country	:	US
Telephone Number	:	718-783-3919
Fax Number	:	718-398-0975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1992785398 — DR. LLEWELLYN MARC HYACINTHE M.D.
Practice Location Address:

60 PLAZA ST E
BROOKLYN, NY
11238-5040

Practice Phone: 718-638-9222
Practice Fax: 718-857-1714

1184681033 — JACQUES DUPERVAL M.D.
Practice Location Address:

60 PLAZA ST E , SUITE S-3
BROOKLYN, NY
11238-5040

Practice Phone: 718-783-5168
Practice Fax: 718-783-0408

1558387431 — DR. JOSEPH H PAUL M.D
Practice Location Address:

60 PLAZA ST E
BROOKLYN, NY
11238-5040

Practice Phone: 718-857-8874
Practice Fax: 718-857-8874

1477655017 — DR. ROBERTO ROBINSON MD
Practice Location Address:

60 PLAZA ST E
BROOKLYN, NY
11238-5040

Practice Phone: 718-783-3919
Practice Fax:

1871684753 — BROOKLYN FAMILY MEDICAL CARE
Practice Location Address:

60 PLAZA ST E , SUITE E
BROOKLYN, NY
11238-5040

Practice Phone: 718-783-3919
Practice Fax:

1659429272 — YOCHEVED R SILK RPA-C
Practice Location Address:

60 PLAZA ST E STE 1-0
BROOKLYN, NY
11238-5040

Practice Phone: 347-996-6285
Practice Fax:

Directions to “ DR. CLARK R. LOPEZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.