Individual
KARINA PEREZ-VILBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27027 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-5320
Mailing address
17239 HIGHLAND AVE, JAMAICA, NY 11432-2833
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30306103
NY
364SG0600X
Gerontology Clinical Nurse Specialist
34340848
NY
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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