Individual
AMARILIS PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15 HUNTSMAN WAY, WEBSTER, NY 14580
(585) 748-9701
Mailing address
15 HUNTSMAN WAY, WEBSTER, NY 14580-2803
(585) 748-9701
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327095
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
439471422
—
NY
Enumeration date
09/11/2017
Last updated
07/21/2022
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