Healthcare Provider Details

I. General information

NPI: 1366371791
Provider Name (Legal Business Name): ERICA LOPEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 WASHINGTON AVE
ROOSEVELT NY
11575-1845
US

IV. Provider business mailing address

838 NORTHERN PKWY
UNIONDALE NY
11553-3538
US

V. Phone/Fax

Practice location:
  • Phone: 516-378-2000
  • Fax:
Mailing address:
  • Phone: 516-859-4026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number014429
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: