Individual
MR. JEFFREY PERESIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC2
Contact information
Practice address
1001 11TH ST, NIAGARA FALLS, NY 14301-1201
(716) 278-8110
(716) 278-8111
Mailing address
800 MAIN ST, NIAGARA FALLS, NY 14301-1156
(716) 282-1228
(716) 282-1238
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5181
NY
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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