Healthcare Provider Details

I. General information

NPI: 1184859290
Provider Name (Legal Business Name): AARON PATTERSON LOPES M.D., M.B.A, M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2009
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 W 60TH ST APT 1F
NEW YORK NY
10023-7906
US

IV. Provider business mailing address

30 W 60TH ST APT 1F
NEW YORK NY
10023-7906
US

V. Phone/Fax

Practice location:
  • Phone: 646-484-9112
  • Fax: 888-235-2882
Mailing address:
  • Phone: 646-484-9112
  • Fax: 888-235-2882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number261375
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: