Individual
MARTHA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MARTHA PEREZ
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX LEBANON HOSPITAL, BRONX, NY 10457-7606
(718) 960-1413
Mailing address
1650 GRAND CONCOURSE, BRONX LEBANON HOSPITAL, BRONX, NY 10457-7606
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
271444
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2010
Last updated
03/04/2015
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