Individual
ADDIA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 PENN PLZ, STE 946, NEW YORK, NY 10122-0049
(212) 470-8554
Mailing address
14 PENN PLZ, STE 946, NEW YORK, NY 10122-0049
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
368930091
NY
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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