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

Mr. Gustavo Lopez Jr.

Individual provider Peer Specialist · NPI 1679082242

Mr. Gustavo Lopez Jr. is a Peer Specialist in Mount Vernon, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

256 Washington St
Mount Vernon, NY 10553-1052
Phone: (914) 613-0700
Fax: (914) 664-8189
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (NY)

Record details

NPI number1679082242
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 26, 2017
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025

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