Individual
BENNY PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 JEFFERSON GDNS UNIT 4, MONTICELLO, NY 12701-1953
(845) 807-8044
Mailing address
18 JEFFERSON GDNS UNIT 4, MONTICELLO, NY 12701-1953
(845) 807-8044
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
565974209
NY
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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