Individual
SHAN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 FLATBUSH AVE STE 3, BROOKLYN, NY 11217-2499
(718) 852-2584
Mailing address
25 FLATBUSH AVE STE 3, BROOKLYN, NY 11217-2499
(718) 852-2584
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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