Individual
DR. MICHAEL PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4915 BROADWAY, SUITE #1G, NEW YORK, NY 10034-3119
(212) 544-9513
(212) 544-0402
Mailing address
4915 BROADWAY, SUITE #1G, NEW YORK, NY 10034-3119
(914) 525-7637
(212) 544-0402
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
170543
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01196487
—
NY
Enumeration date
03/15/2006
Last updated
04/13/2009
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