Individual
BRIAN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
8776 117TH ST, RICHMOND HILL, NY 11418-2428
(917) 545-1566
Mailing address
8776 117TH ST, RICHMOND HILL, NY 11418-2428
(917) 545-1566
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
006152-1
NY
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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