Individual
MR. JEFFREY MNI PERLES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
FORT HAMILTON ARMY BASE, BLDG #114 RM 1-19, BROOKLYN, NY 11252-6530
(718) 630-4915
(718) 630-4941
Mailing address
632 E 8TH ST, BROOKLYN, NY 11218-5906
(718) 871-1063
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RO12941-1
NY
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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