Individual
JAYSON BRUCE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1127 E GENESEE ST, SYRACUSE, NY 13210-1911
(315) 473-4266
(315) 473-6037
Mailing address
1127 E GENESEE ST, SYRACUSE, NY 13210-1911
(315) 473-4266
(315) 473-6037
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
337983
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03638795
—
NY
Enumeration date
04/12/2013
Last updated
03/25/2025
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