Individual
MRS. AIDA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC, NP-C
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2500
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00492000
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
306457
NY
Other
Enumeration date
05/23/2014
Last updated
07/07/2014
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