Individual
JOHN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 FROST LN, CORNWALL, NY 12518-1306
(646) 209-9949
Mailing address
20 FROST LN, CORNWALL, NY 12518-1306
(646) 209-9949
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
021754
NY
Other
Enumeration date
11/26/2012
Last updated
08/17/2016
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