Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ingrid Lopez

Individual provider Surgical Physician Assistant · NPI 1740964600

Ingrid Lopez is a Surgical Physician Assistant in Bay Shore, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

301 E Main St
Bay Shore, NY 11706-8408
Phone: (631) 968-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (NY)

Record details

NPI number1740964600
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

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