Individual
ODALIS C PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3249 KINGSBRIDGE AVE, BRONX, NY 10463-5514
(646) 204-2295
Mailing address
89 1/2 MAPLE ST, JERSEY CITY, NJ 07304-4091
(201) 640-4845
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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