Individual
EIDY D MACIAS-PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6014 JACKSON ST, WEST NEW YORK, NJ 07093-1411
(551) 312-3086
Mailing address
6014 JACKSON ST, WEST NEW YORK, NJ 07093-1411
(551) 312-3086
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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