Individual
DESIREE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 GARDEN CITY PLZ, GARDEN CITY, NY 11530-3302
(516) 393-9116
Mailing address
7 PUBINS LN, GARDEN CITY PARK, NY 11040-3430
(516) 984-6466
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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