Individual
MRS. CAROLYN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
14 BELLEMEADE AVE, SMITHTOWN, NY 11787-1857
(631) 265-5300
Mailing address
215 COLLINGTON DR, RONKONKOMA, NY 11779-4817
(631) 793-5591
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
655221-1
NY
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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