Individual
ANA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92 VAN CORTLANDT PARK S, #6C, BRONX, NY 10463-2922
(646) 387-5656
Mailing address
92 VAN CORTLANDT PARK S, #6C, BRONX, NY 10463-2922
(646) 387-5656
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
020614-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
658026061
TSSLD LICENCE
NY
Enumeration date
10/21/2011
Last updated
10/21/2011
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